Compliance Professional; Registered Nurse

Required Qualifications: Minimum Associate's degree RN Minimum 1 + year of Home Health Services experience Minimum of 1+ years of DME experience Minimum of 1+years of UM review with CGX experience Ability to manage multiple or competing priorities and meet deadlines Prior Auditing Experience Must be passionate about contributing to an organization focused on continuously improving consumer experiences Strong attention to detail to include strong written and verbal communication skills Demonstrated ability to be efficient in a fast-paced environment Preferred Qualifications: Compliance regulations experience Analytical experience Experience running queries and ad hoc reports in Access and/or SQL Additional Information: WAH Internet Statement 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.

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