Utilization Management Nurse
Humana Inc
- Madison, Wisconsin, United States
- Madison, Wisconsin, United States
À propos
Preferred Locations:
Daytona, FL, Louisville, KY, San Antonio, TX
Use your skills to make an impact Required Qualifications
Active Unrestricted RN license
Possession of or ability to obtain Compact Nursing License
3+ years of clinical RN experience;
Prior clinical experience, managed care experience, DME, Florida Medicaid OR utilization management experience
Ability to work independently and within a team setting
Valid driver's license and/or dependable transportation necessary
Travel for offsite Orientation 2 to 8 weeks
Travel to offsite meetings up to 6 times a year
Willing to work in multiple time zones
Strong written and verbal communication skills
Attention to detail, strong computer skills including Microsoft office products
Ability to work in fast paced environment
Ability to form positive working relationships with all internal and external customers
Available for On Call weekend/holiday rotation if needed
Preferred Qualifications
Education: BSN or bachelor's degree in a related field
Experience with Florida Medicaid
Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures
Compact RN License
Previous experience in utilization management within Insurance industry
Previous Medicare Advantage/Medicare/Medicaid Experience
Current nursing experience in Hospital, SNF, LTAC, DME or Home Health.
Bilingual
Additional Information We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k with company matching, tuition reimbursement, 3 weeks paid vacation time, paid holidays, work-life balance, growth, a positive and fun culture and much more.
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 The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$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, 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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Compétences linguistiques
- English
Avis aux utilisateurs
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