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Executive Nurse Leader, Health Services & Care Management (Remote
Remote / Online - Candidates ideally in
Myrtle Beach, Horry County, South Carolina, 29572, USA
Listed on 2026-08-04
Myrtle Beach, Horry County, South Carolina, 29572, USA
Listing for:
Humana Inc
Remote/Work from Home
position Listed on 2026-08-04
Job specializations:
-
Management
Healthcare Management
Job Description & How to Apply Below
Humana Inc. seeks an Associate Director, Health Services Nursing to lead care management and utilization management operations.
The role drives process improvements, audits, and staff development to meet NCQA and Medicaid requirements while collaborating with clinical and operational teams to enhance member outcomes. Requirements include an active SC RN license, a BSN or related healthcare degree, 3+ years in UM leadership, Medicaid experience, and proficiency with Inter Qual/MCG/ASAM criteria
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