About this role
Utilization Management Nurse Lead at Humana. Location: Michigan or United States. Role: coordinating reviews, analyzing utilization, ensuring compliance Requirements: Active Michigan RN license, Bachelor’s degree in related field, 5+ years clinical UM experience, 2+ years leadership, Microsoft Office proficiency; knowledge of Medicare and NCQA standards. Category: Healthcare Services - Nursing Seniority: Senior Level Tools: Microsoft Office, Microsoft PowerPoint, Microsoft Excel, Power BI, HireVue Certifications: rn Commitment: Full Time Workplace: Remote Languages: English