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Remote Utilization Management RN — Care Coordination Expert
Remote / Online - Candidates ideally in
Bridgeport, Harrison County, West Virginia, 26630, USA
Listed on 2026-08-28
Bridgeport, Harrison County, West Virginia, 26630, USA
Listing for:
Humana
Remote/Work from Home
position Listed on 2026-08-28
Job specializations:
-
Management
Healthcare Management
Job Description & How to Apply Below
Humana is hiring a Utilization Management Registered Nurse to interpret and support coordination, documentation, and communications for medical services and benefit determinations. This remote role reports to the Manager of Utilization Management and sits on the One Home/Home Solutions Utilization Management team, overseeing SNF, Home Health, and DME related activities to ensure appropriate care settings.
Responsibilities include applying clinical criteria, making determinations, processing
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