# Utilization Management Nurse 2

**Company**: Humana
**Location**: Remote Oklahoma
**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-Oklahoma/Utilization-Management-RN---Physical-Health_R-435227?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_c2499d4a-2a2

## Description

At Humana, you're part of a caring community where your clinical nursing skills will make a real difference. As a Utilization Management (UM) Nurse 2, you'll use your expertise to support the coordination, documentation, and communication of medical services and benefit administration determinations.

Responsibilities:

- Interpret criteria and procedures to provide the best treatment, care, or services for Enrollees

- Coordinate and communicate with Providers, Enrollees, or other parties to facilitate optimal care and treatment

- Understand department, segment, and organizational strategy and operating objectives

- Use judgment regarding own work methods, occasionally in ambiguous situations

- Follow established guidelines and procedures

- Periodic travel to Humana Oklahoma City office for meetings and training

Requirements:

- Active Licensed Registered Nurse (RN), unrestricted

- 3+ years of prior clinical experience, preferably in an acute care, skilled or rehabilitation clinical setting

- Comprehensive knowledge of Microsoft Excel and Outlook

- Ability to work a weekend rotation

- Must reside in Oklahoma

Preferred Qualifications:

- Previous experience in Utilization Management

- Prior experience with EPIC Programs

- Previous remote work experience

Benefits:

- Competitive benefits package, including medical, dental, and vision benefits

- 401(k) retirement savings plan

- Time off, including paid time off, company and personal holidays, paid parental and caregiver leave

- Short-term and long-term disability, life insurance, and other opportunities

Salary: $71,100 - $97,800 per year Scheduled Weekly Hours: 40

## Skills

### Required
- Microsoft Excel
- Outlook
- Registered Nurse (RN)

### Nice to have
- EPIC Programs
- Utilization Management
- remote work 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-Oklahoma/Utilization-Management-RN---Physical-Health_R-435227?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)