Utilization Management Rn - Physical Health

Humana

Oklahoma City, Oklahoma, US
Base: $71,100 - $97,800 py; bonus/equity: eligible...
Hybrid
Clinical nursing skills
Interpret criteria and procedures
Coordinate with providers and enrollees
The Utilization Management (UM) Nurse 2 uses clinical nursing skills to support the coordination, documentation, and communication of medical services and benefit administration determinations

Job Summary

  • The Utilization Management (UM) Nurse 2 uses clinical nursing skills to support the coordination, documentation, and communication of medical services and benefit administration determinations.
  • Humana offers competitive benefits that support whole-person well-being, including medical, dental, vision, 401(k), and various paid time off options.
  • This is a remote position requiring occasional travel to Humana's offices for training or meetings, and employees must work from a dedicated space lacking ongoing interruptions.

Matching Summary

The Utilization Management (UM) Nurse 2 uses clinical nursing skills to support the coordination, documentation, and communication of medical services and benefit administration determinations.

Salary

Base: $71,100 - $97,800 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
  • Interpret criteria and procedures
  • Coordinate with Providers and Enrollees
  • Work from dedicated space
  • Reside in Oklahoma

Nice-to-have

  • Caring community
  • Inclusive workplace culture
  • Human care focus
  • Achieve best health

Key Requirements

  • Active Licensed Registered Nurse (RN)
  • 3+ years clinical experience
  • Proficient in Microsoft Excel and Outlook
  • Ability to work a weekend rotation

Work Rights

Must reside in Oklahoma

Tailored Resume

Cover Letter