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Remote RN: Utilization Management for LTSS/HCBS

Humana Inc

Brooklyn, NY
  • Remote job

Humana Inc. is seeking a Utilization Management Nurse to review and authorize LTSS and HCBS for Illinois Medicaid members. You will evaluate clinical information, make evidence-based coverage determinations, and coordinate with providers and interdisciplinary teams to ensure access to appropriate care and services. The role requires an IL RN license (or eligibility), 1+ year UM/LTSS experience, and 2+ years clinical background in relevant settings. #J-18808-Ljbffr Humana Inc

Vacancy posted 3 days ago
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