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Posted Sep 19, 2025

Utilization Management Registered Nurse - Weekend Front End Review - Remote Work Opportunity

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Join Our Team as a Weekend Utilization Management Registered Nurse

Are you a dedicated and compassionate Registered Nurse looking for a new challenge? Do you have a passion for delivering high-quality patient care and making a positive impact on the healthcare system? Look no further! We are seeking an experienced Utilization Management Registered Nurse to join our team on a remote basis. As a Weekend Utilization Management Registered Nurse, you will play a critical role in supporting the coordination, documentation, and communication of medical services and benefit administration determinations.

About Our Company and Culture

At Humana, we are committed to putting health first - for our teammates, our customers, and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. Our company culture is built on a foundation of compassion, integrity, and respect, and we strive to create a work environment that is engaging, challenging, and rewarding for all our employees.

Job Summary

As a Weekend Utilization Management Registered Nurse, you will utilize your clinical nursing skills to support the coordination, documentation, and communication of medical services and benefit administration determinations. You will work independently to interpret and apply clinical criteria, policies, and procedures to provide the best and most appropriate treatment, care, or services for our members. Your primary responsibilities will include:

Requirements and Qualifications

Essential Qualifications:

Preferred Qualifications:

What We Offer

At Humana, we value our employees and offer a comprehensive benefits package that supports whole-person well-being. Our benefits include:

Work Environment and Culture

As a remote employee, you will have the flexibility to work from home and enjoy a better work-life balance. Our company culture is built on a foundation of compassion, integrity, and respect, and we strive to create a work environment that is engaging, challenging, and rewarding for all our employees. We offer:

Career Growth Opportunities and Learning Benefits

At Humana, we are committed to helping our employees grow and develop their skills. We offer:

How to Apply

If you are a motivated and compassionate Registered Nurse looking for a new challenge, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to:

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Interview Process

As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, 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.

Equal Opportunity Employer

Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers, and our company. We are an equal opportunity employer and welcome applications from diverse candidates.

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or veteran status.

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