Role: RN Utilization Review Nurse - Onsite Liaison
You will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines review criteria.
Ability to work independently under general instructions and with a team
To be considered for work at home after 6 months, you must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana systems is 10Mx1M
Must be ok to travel to onsite facilities in Jackson, MS area
TB test required if hired for role
You will report to a Frontline Leader. This area is under the leadership of the SVP & Chief Operating Officer.
Title: Onsite Nurse Liaison - Medicare - Jackson, MS
Requisition ID: 192285
Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. We also provide free language interpreter services. See our full accessibility rights information and language options.