Utilization Management Nurse - Home Solutions - Compact RN Required

Overview

Full-Time, Remote Telephonic opportunity. The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and / or benefit administration determinations. The role requires interpretation and independent determination of the appropriate courses of action. As a Utilization Management RN on the OneHome / Home Solutions UM Team, you will use your clinical knowledge, communication skills, and independent critical thinking to ensure value-based care for members who desire to heal at home. You will coordinate and communicate with providers, members, or other parties to facilitate optimal member care and treatment.

Responsibilities

• Coordinate and communicate with providers, members, or other parties to facilitate optimal member care and treatment.
• Help ensure fully coordinated home care for members.

Required Qualifications

Preferred Qualifications

Work-At-Home Requirements

Schedule and Travel

Shift is Monday - Friday 8 : 00am - 5 : 00pm Eastern Standard Time. This is a remote position; occasional travel to Humana's offices for training or meetings may be required.

Pay

Description Of Benefits

Humana offers competitive benefits that support whole-person well-being, including medical, dental and vision benefits, a 401(k) plan, paid time off and holidays, disability, life insurance, and other opportunities.

About Us

About OneHome : OneHome coordinates a full range of post-acute care at patients' homes. OneHome was acquired by Humana in 2021 to advance value-based care. Our culture is inclusive and caring, with a comprehensive benefits package for you and your family.

About Humana : Humana Inc. is committed to putting health first for teammates, customers, and the company, delivering care and service when needed across diverse populations.

Equal Opportunity Employer

Humana does not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. We comply with Section 503 of the Rehabilitation Act and VEVRAA to employ and advance individuals with disabilities or protected veteran status, based on valid job requirements.

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