Utilization Management RN

Required Qualifications Active unrestricted Compact RN license. A minimum of three years clinical experience. Prior clinical experience, managed care experience, OR utilization management experience Demonstrates Emotional Intelligence Ability to work independently and within a team setting 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 Preferred Qualifications Education: RN Licensure – unrestricted Experience with Home Health preferred Previous experience in utilization management within Insurance industry a plus Previous Medicare Advantage/Medicare 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 recommended; 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. ​ Benefits

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