Utilization Management Nurse

Humana

Humana Inc. is seeking a Compliance Nurse 2 to review utilization management activities and documentation, ensuring adherence to policies and regulations while preventing fraud, waste, and abuse. The role involves data analysis, independent judgment, and interpreting guidelines to determine actions, within EST hours and a 4-day, 10-hour schedule. The position requires 3+ years UM experience or 2+ years UM auditing or 1+ year home health utilization management, RN licensure in a compact state, #J-18808-Ljbffr

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Vacancy posted 1 day ago

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