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Nurse-Led Remote UM Manager – Medicare​/Medicaid

Remote / Online - Candidates ideally in
Waukesha, Waukesha County, Wisconsin, 53188, USA
Listing for: Socket.dev
Remote/Work from Home position
Listed on 2026-09-22
Job specializations:
  • Healthcare
    Healthcare Nursing, Nursing Home
Salary/Wage Range or Industry Benchmark: 95000 - 131000 USD Yearly USD 95000.00 131000.00 YEAR
Job Description & How to Apply Below

Humana is seeking a Utilization Management Manager to lead a nursing team focused on medical necessity reviews, prior authorizations, and provider outreach for Medicare/Medicaid services in Wisconsin.

Reporting to the Director of Health Services, you will drive quality, compliance, and continuous improvement while mentoring staff and educating providers. This remote/home-based role includes occasional travel to Humana offices.

As a Nurse-Led Remote UM Manager – Medicare/Medicaid, you will play an important part  in WI, United States.

We are looking to fill the Nurse-Led Remote UM Manager – Medicare/Medicaid position  in WI, United States.

The Nurse-Led Remote UM Manager – Medicare/Medicaid role  is now open for applications in WI, United States.

Join us  as our next Nurse-Led Remote UM Manager – Medicare/Medicaid in WI, United States.

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