Utilization Management Registered Nurse, Rn

• Intermediate or better working using Microsoft Word, Outlook and Excel
• Ability to work independently under general instructions and with a team
• Minimum 3 years medical surgery, heart, lung, critical care, skilled or rehabilitation nursing experience
• Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action

Additional Requirements / Adherence

Workstyle: Remote work at home

Location: U.S., Prefer Florida

Schedule:

• 40 hour work week Monday through Friday with flexibility to work 8 or 10 hour shifts upon leader approval.
• Occasional weekend and holiday shifts

Travel: None

Work at Home Guidance

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
• Satellite, cellular and microwave connection can be used only if approved by leadership
• Associates 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.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA informatiion.
• 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

Preferred Qualifications

• Previous Medicare/Medicaid Experience a plus
• BSN or Bachelor's degree in a related field
• Previous experience in utilization management
• Health Plan experience
• Bilingual is a plus

Additional Information

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

This is a remote position.

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