Remote Utilization Management RN - Medicare/Medicaid Focus
Albuquerque, Bernalillo County, New Mexico, 87101, USA
Listed on 2026-11-01
-
Nursing
RN Nurse
Humana is seeking a Utilization Management Registered Nurse to interpret and support coordination, documentation, and communication of medical services and benefit determinations. You will rely on established criteria to determine appropriateness based on physician information and other care providers, while communicating with providers, members, and teams to facilitate care.
The role requires an RN license in the state of residence, 1+ year of clinical RN experience in hospital/SNF/home health,
This Full Time position is for the Remote Utilization Management RN
- Medicare/Medicaid Focus role at Humana.
We are looking to fill the Remote Utilization Management RN
- Medicare/Medicaid Focus position at Humana in Santa Fe, NM, United States.
The Remote Utilization Management RN
- Medicare/Medicaid Focus role at Humana is now open for applications in Santa Fe, NM, United States.
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