Remote Utilization Management RN – Care Coordination

Humana seeks an experienced Utilization Management RN to interpret and coordinate medical services and benefit determinations remotely. You will work with the One Home/Home Solutions UM team, support post-acute care services, and communicate with providers and members to ensure appropriate care levels.

This role requires RN licensure in home state, 1+ year clinical experience, and knowledge of medical necessity criteria.

We have an opening for a Remote Utilization Management RN – Care Coordination in PA, United States within Bio & Pharmacology & Health.

Step into the Remote Utilization Management RN – Care Coordination role at Humana in PA, United States and grow with us.

Please review the full job details above before applying.

If your experience matches this role, we encourage you to apply.

All applications are reviewed carefully by our team.