Utilization Management Nurse
Humana(1 month ago)
About this role
The Utilization Management Nurse 2 at Humana performs clinical review and supports coordination and documentation related to medical services and benefit administration determinations. The role applies clinical judgment to interpret criteria, policies and procedures to ensure appropriate care for members. This is a remote position with occasional travel to offices for training or meetings.
Required Skills
- Clinical Knowledge
- Communication
- Critical Thinking
- Microsoft Office
- Utilization Management
- Documentation
- Case Coordination
- Provider Communication
Qualifications
- RN License
- BSN
About Humana
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