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Remote Utilization Management RN – Care Coordination
Remote / Online - Candidates ideally in
Nicholasville, Jessamine County, Kentucky, 40356, USA
Listed on 2026-07-31
Nicholasville, Jessamine County, Kentucky, 40356, USA
Listing for:
Humana
Remote/Work from Home
position Listed on 2026-07-31
Job specializations:
-
Nursing
RN Nurse, Healthcare Nursing
Job Description & How to Apply Below
Humana is seeking an Utilization Management Registered Nurse to interpret and support the coordination and documentation of medical services and benefit determinations. You will report to the Manager of Utilization Management as part of the One Home/Home Solutions team, focusing on post-acute care services including SNF, Home Health, and DME.
The role emphasizes using clinical criteria to determine medical necessity, communicating with providers and members, and working toward the right level of
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