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Remote UM Compliance Nurse: Health Plan Data and Appeals

Remote / Online - Candidates ideally in
Elkins, Randolph County, West Virginia, 26241, USA
Listing for: Humana Inc
Remote/Work from Home position
Listed on 2026-08-07
Job specializations:
  • Nursing
    Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 71100 - 97800 USD Yearly USD 71100.00 97800.00 YEAR
Job Description & How to Apply Below

Humana Inc. is seeking a Compliance Nurse 2 to review utilization management activities and documentation for adherence to policies and regulations. The role requires independent judgment and interpretation of guidelines, with a focus on preventing fraud, waste, and abuse.

The position follows a four-day, 10-hour shift schedule (Wed-Sun or Thu-Sun) with hours between 8:00 a.m. and 8:00 p.m. ET. Remote work is possible with occasional travel to Humana offices for training.

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