Ltss Um Nurse Manager

CarePlus Health Plans Inc

Michigan, US
Base: $94,900 - $130,500 py; bonus/equity: eligibl...
Fully remote
Clinical nursing skills
Utilization management
Long-term services and supports
You will use clinical nursing skills to support the coordination, documentation and communication of medical services and benefit administration determinations

Job Summary

  • You will use clinical nursing skills to support the coordination, documentation and communication of medical services and benefit administration determinations.
  • Responsible for leadership and oversight of the physical health Utilization Management staff in daily operations.
  • Humana offers competitive benefits that support whole-person well-being, including medical, dental and vision benefits, 401(k) retirement savings plan, and time off.

Matching Summary

You will use clinical nursing skills to support the coordination, documentation and communication of medical services and benefit administration determinations.

Salary

Base: $94,900 - $130,500 per year; Bonus/Equity: eligible for bonus incentive plan; Benefits: medical, dental, vision, 401(k), time off, disability, life insurance

Skills & Requirements

Must-have

  • clinical nursing skills
  • utilization management
  • long-term services and supports
  • leadership and oversight
  • MDHHS and NCQA guidelines

Nice-to-have

  • collaborative environment
  • progressive clinical experience
  • cross-departmental collaboration
  • bilingual skills

Key Requirements

  • Bachelor's Degree
  • 2+ years management experience
  • Licensed Registered Nurse (RN) in Michigan
  • 1+ years utilization management experience
  • 1+ years LTSS programs experience

Work Rights

Not specified

Tailored Resume

Cover Letter