# Utilization Management Nurse 2

**Company**: Humana Inc.
**Location**: Remote Kentucky
**Work arrangement**: remote
**Experience**: senior
**Job type**: full-time
**Salary**: $71,100 - $97,800 per year
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://humana.wd5.myworkdayjobs.com/en-US/Humana_External_Career_Site/job/Remote-Kentucky/Utilization-Management-Registered-Nurse---Home-Health_R-436670-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/job/utilization-management-nurse-2-86737a57-d22/

## Description

The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations.

Success in this role requires:

- Passion for contributing to an organization focused on continuously improving consumer experiences

- Excellent organizational and time management skills

- Solid analytical skills to understand and interpret clinical information to make recommendations to improve patient outcomes

- Technical savvy and ability to navigate multiple systems and screens while working cases

- Collaboration skills to effectively interact with multiple parties both internal and external

- Understanding of department, segment, and organizational strategy and operating objectives

- Ability to make decisions regarding own work methods, occasionally in ambiguous situations, and with minimal direction

- Ability to follow established guidelines, processes, and procedures

**Required Qualifications:**

- Minimum of Associate Degree in nursing

- Licensed Registered Nurse (RN) in a compact state with no disciplinary action

- Valid compact license or reside in a compact state and be eligible to upgrade to compact licensure

- Three (3) or more years of progressive and varying clinical experience that includes direct patient care to geriatric population

- Effective telephonic and virtual communication skills

- Comprehensive knowledge of Microsoft Word, Outlook, and Excel

- Ability to work independently under general instructions and within a team

**Preferred Qualifications:**

- Bachelor’s degree

- Two (2) or more years of home health experience and/or utilization management experience

- Experience in a managed care setting

- Health Plan experience

- CGX experience

**Work-At-Home Requirements:**

- High-speed DSL or cable modem for a home office

- Minimum standard speed for optimal performance is 25mbs download x 10mbs upload

- Dedicated office space lacking ongoing interruptions

**Scheduled Weekly Hours:** 40

**Pay Range:** $71,100 - $97,800 per year

**Description of Benefits:** Humana offers competitive benefits that support whole-person well-being, including medical, dental, and vision benefits, 401(k) retirement savings plan, time off, short-term and long-term disability, life insurance, and more.

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## Skills

### Required
- Associate Degree in nursing
- Licensed Registered Nurse (RN)
- Microsoft Word
- Outlook
- Excel
- telephonic and virtual communication

### Nice to have
- Bachelor’s degree
- home health experience
- utilization management experience
- managed care setting
- Health Plan experience
- CGX experience

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Source: [Apply at humana.wd5.myworkdayjobs.com](https://humana.wd5.myworkdayjobs.com/en-US/Humana_External_Career_Site/job/Remote-Kentucky/Utilization-Management-Registered-Nurse---Home-Health_R-436670-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)