Humana

About Humana

 

Job Category:

Member Quality & Financials - Utilization Management

Country:

United States

Approximate Salary:

Not Specified

Position Type:

Full time

This job has expired and you can't apply for it anymore. Start a new search.

Onsite Nurse Reviewer - Albuquerque, NM

Humana - Work At Home New, United States

Posted: 07/4/2018

Description

The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

               

Required Qualifications

  • Active RN license in the state(s) in which the nurse is required to practice
  • Ability to be licensed in multiple states without restrictions
  • Prior clinical experience preferably in an acute care, skilled or rehabilitation clinical setting
  • Ability to work independently under general instructions and with a team
  • Valid drivers license and/or dependable transportation necessary (variable by region)
  • Must live in the Albuquerque metropolitan area

Preferred Qualifications

  • BSN or Bachelor’s degree in a related field
  • Health Plan experience
  • Previous Medicare/Medicaid Experience a plus
  • Call center or triage experience
  • Previous experience in utilization management, discharge planning and/or home health or rehab
  • Bilingual is a plus

Additional Information

Scheduled Weekly Hours

40

Apply Now
This job has expired and you can't apply for it anymore