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Remote RN: Utilization Management LTSS/HCBS
Remote / Online - Candidates ideally in
South Naperville Area, Will County, Illinois, 60564, USA
Listed on 2026-08-25
South Naperville Area, Will County, Illinois, 60564, USA
Listing for:
Humana
Remote/Work from Home
position Listed on 2026-08-25
Job specializations:
-
Nursing
RN Nurse
Job Description & How to Apply Below
Humana is seeking a remote Utilization Management (UM) Nurse to support Illinois Medicaid members by reviewing LTSS and HCBS authorizations, ensuring compliant and timely determinations. The role emphasizes collaboration with providers, members, and interdisciplinary teams to coordinate care, make coverage decisions, and support high-quality member outcomes across Illinois.
Requires IL RN licensure, UM/LTSS experience, clinical background, and proficiency with Word/Outlook/Excel.
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