Utilization Management Nurse- Compact License required

Required Qualifications: Minimum of associate degree in nursing Licensed Registered Nurse (RN) in a compact state with no disciplinary action. Must have valid compact license or reside in a compact state and be eligible to upgrade to compact licensure. Three (3) or more years of progressive clinical experience Effective telephonic and virtual communication skills Comprehensive knowledge of Microsoft Word, Outlook and Excel Ability to work independently under general instructions and within a team. Work-At-Home Requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance is 25mbs download x 10mbs upload is required. Check your internet speed at www.speedtest.net A dedicated office space lacking ongoing interruptions so you can meet productivity requirements, and to protect member PHI / HIPAA information. Preferred Qualifications: BSN 2 to 3 years of home health experience and/or utilization management experience Experience in a managed care setting Health Plan experience CGX experience Bilingual in English/Spanish The Utilization Management Nurse 2 helps to ensure fully coordinated care at home for our members. Success in this role requires the following: Must be passionate about contributing to an organization focused on continuously improving consumer experiences. Excellent organizational and time management skills Solid analytical skills to understand and interpret data to make recommendations to improve patient care. Technical savvy and ability to navigate multiple systems and screens while working cases. Collaboration skills to effectively interact with multiple parties both internal and external. An understanding of department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Ability to make decisions regarding your own work methods, occasionally in ambiguous situations, and with minimal direction receiving guidance where needed. Ability to follow established guidelines/procedures. Speedtest by Ookla - The Global Broadband Speed Test Use Speedtest on all your devices with our free desktop and mobile apps. Speedtest by Ookla - The Global Broadband Speed Test Use Speedtest on all your devices with our free desktop and mobile apps. Speedtest by Ookla - The Global Broadband Speed Test Use Speedtest on all your devices with our free desktop and mobile apps. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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