Remote Utilization Management Nurse
Humana
Humana is seeking an Utilization Management Registered Nurse for a remote role. You will interpret clinical data to coordinate, document, and communicate medical services and benefit determinations, using Milliman Care Guidelines or InterQual criteria where applicable.
The role reports to the Manager of Utilization Management and supports the One Home/Home Solutions team, focusing on post-acute care services including SNF, Home Health, and DME to ensure appropriate care settings.
#J-18808-LjbffrVacancy posted 3 hours ago
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