Remote Utilization Management RN - Care Coordination

Humana Inc. is seeking a remote Utilization Management Registered Nurse to interpret clinical data and coordinate medical service determinations for home solutions and post‑acute care. You will review, document, and communicate with providers to ensure appropriate care levels and timely processing, reporting to the Manager of Utilization Management. The role emphasizes evidence-based criteria, collaboration with care teams, and adherence to HIPAA/privacy standards while supporting member