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Remote Utilization Management RN – Medicare​/Health Plan

Remote / Online - Candidates ideally in
Gorham, Cumberland County, Maine, 04038, USA
Listing for: Humana
Full Time, Remote/Work from Home position
Listed on 2026-10-31
Job specializations:
  • Nursing
    RN Nurse, Nurse Practitioner
Salary/Wage Range or Industry Benchmark: 71000 - 98000 USD Yearly USD 71000.00 98000.00 YEAR
Job Description & How to Apply Below

Humana is seeking a Utilization Management Registered Nurse for a fully remote role supporting post-acute care services. You will interpret clinical information to determine medical necessity, coordinate communications with providers and members, and help deliver coordinated care across SNF, home health and DME settings.

Requirements include a compact RN license, 1+ year RN experience, utilization management exposure, and a BSN or higher degree.

Step into the Remote Utilization Management RN – Medicare/Health Plan role at Humana in Portland, ME, United States and grow with us.

Take a moment to read everything above and see whether this role is right for you.

This posting is for the Remote Utilization Management RN – Medicare/Health Plan role at Humana, based in Portland, ME, United States.

We are looking to fill the Remote Utilization Management RN – Medicare/Health Plan position at Humana in Portland, ME, United States.

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