Senior Utilization Review Nurse

Humana is hiring a Senior Utilization Review Nurse to join our fully remote team in the United States. As a Senior Utilization Review Nurse, you'll support patients and clinical teams remotely. This is a contract, work-from-home role open to candidates across the US (Remote — USA). About the role You'll support patients and clinical teams remotely, partnering with a friendly, distributed team across US time zones. We care about outcomes over hours and give you the autonomy, tools, and support to do your best work from home. What you'll do: • Maintain accurate, compliant records • Communicate with patients and providers • Coordinate patient care and scheduling • Follow HIPAA and quality standards • Support clinical and administrative workflows What we offer: • Annual learning and professional development budget • Paid parental leave • Flexible working hours across US time zones • Generous paid time off and company holidays • Competitive salary and meaningful equity How we work We're remote-first and async-friendly. Expect clear documentation, regular feedback, supportive teammates, and real opportunities to grow your career. Humana is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for everyone.

Minimum qualifications: • 5+ years of relevant experience • Healthcare experience • Strong communication and empathy • HIPAA awareness • Relevant certification or license where applicable Nice to have: • Experience in a fast-paced, high-growth environment • A growth mindset and eagerness to keep learning