Humana is seeking a Utilization Management Registered Nurse to interpret and support coordination, documentation and communication of medical services and benefit determinations.
You will report to the Manager of Utilization Management and join the One Home/Home Solutions Utilization Management team focusing on post-acute care services including SNF, Home Health, and DME.
You will use clinical nursing skills, base determinations on criteria, complete requests within processing timeframes, and #J-18808-Ljbffr
📌 Remote Utilization Management RN: Elevate Care Coordination (Etobicoke)
🏢 Humana
📍 Etobicoke
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