Remote Otter LogoRemoteOtter

Utilization Management Onsite Nurse - Remote

Posted Yesterday
Healthcare
Full Time
KY, USA
$71,100 - $97,800/year

Overview

Become a part of our caring community and help us put health first. The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations.

In Short

  • Utilizes clinical nursing skills to support medical services coordination.
  • Work assignments require interpretation and independent determination.
  • This is a hybrid position with limited hours working from home.
  • Located at CHI St. Joseph Hospital in Lexington, Kentucky.
  • Requires RN License in Kentucky or a Compact state license.
  • 2+ years of clinical experience preferred.
  • Comprehensive knowledge of Microsoft Word, Outlook, and Excel.
  • Strong written and verbal communication skills are necessary.
  • Travel to hospital/provider for onsite reviews is required.
  • Eligible for a bonus incentive plan based on performance.

Requirements

  • RN License without restrictions in Kentucky or a Compact state.
  • Located within a 1-hour driving distance to CHI St. Joseph Hospital.
  • 2+ years of clinical experience, preferably in acute care.
  • Independent critical thinking skills required.
  • Valid Driver’s License and dependable transportation necessary.
  • Ability to work independently and as part of a team.
  • Experience in discharge planning or case management is preferred.
  • Bilingual candidates are a plus.

Benefits

  • Competitive medical, dental, and vision benefits.
  • 401(k) retirement savings plan.
  • Paid time off, including holidays and volunteer time.
  • Short-term and long-term disability insurance.
  • Life insurance and other opportunities for well-being.

H.A.H.

Humana At Home 1

004 Humana Insurance Company is dedicated to putting health first for its teammates, customers, and the communities it serves. As a leading provider of insurance and healthcare services, Humana focuses on improving the quality of life for millions of individuals, including those with Medicare and Medicaid, families, and military personnel. The company emphasizes a holistic approach to well-being, offering a range of benefits designed to support personal wellness and smart healthcare decisions. Humana is committed to fostering an inclusive workplace and actively promotes equal opportunity for all employees.

Share This Job!

Save This Job!

Similar Jobs:

Zing Health logo

Utilization Management Nurse - Remote

Zing Health

12 weeks ago

The Utilization Management Nurse assesses and coordinates healthcare services while ensuring compliance with regulatory standards.

USA
Full-time
All others
Wellmark logo

Utilization Management Nurse - Remote

Wellmark

13 weeks ago

Join Wellmark as a Utilization Management Nurse to provide essential support and services to members while working in a flexible remote environment.

USA
Full-time
All others
Wellmark logo

Utilization Management Nurse - Remote

Wellmark

15 weeks ago

Join Wellmark as a Utilization Management Nurse, providing essential services to members and healthcare providers with a focus on clinical expertise and member advocacy.

IA, USA
Full-time
Healthcare

H.A.H.

Utilization Management Nurse - Remote

Humana At Home 1

22 weeks ago

Join CarePlus as a Utilization Management Nurse to coordinate and support medical services while working remotely from Florida.

FL, USA
Full-time
All others
$71,100 - $97,800/year
ProgenyHealth logo

Utilization Management Nurse - Remote

ProgenyHealth

24 weeks ago

ProgenyHealth is seeking a full-time Utilization Management Nurse to coordinate care for newborns in a fully remote setting.

Worldwide
Full-time
All others