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Utilization Management Nurse
Humana Inc
- Washington, Utah, United States
- Washington, Utah, United States
About
Use your skills to make an impact Required Qualifications
Active and unrestricted RN license with no disciplinary action
5+ years of clinical RN experience
5+ years of Acute Care experience in the Hospital ICU or ER settings
Prior clinical experience, managed care experience, DME, Florida Medicaid
OR
utilization management experience
Experience cross training and floating among teams
Available for On Call weekend/holiday rotation
Preferred Qualifications
BSN or bachelor's degree in a related field
Active and unrestricted Compact Registered Nurse (RN) license with no disciplinary action (including Nevada)
Experience working within Florida Medicaid
Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures
Experience in utilization management within Insurance industry
Medicare Advantage, Medicare or Medicaid Experience
Current nursing experience in Hospital, SNF, LTAC, DME or Home Health.
Bilingual in English and Spanish with the ability to read/write and speak in both languages
Additional Information
Travel for offsite Orientation for 2 to 8 weeks
Travel to offsite meetings up to 6 times a year
Working hours are 9:00 am to 6:00 pm EST
Preferred Candidate Locations: Daytona, FL, Louisville, KY, San Antonio, TX
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours 40
Pay Range $71,100 - $97,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources
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Languages
- English
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