HumanaHiring

Utilization Management Registered Nurse

  • Remote, United States
  • Full-time
  • Mid-level
  • Posted 10 days ago
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In one line

Remote nurse role reviewing requests for skilled nursing, home health and equipment, deciding with set medical criteria whether the level of care fits.

About the role

Post-acute requests land on this team, and the nurse decides what is medically appropriate and where the member should be treated. Determinations have to be documented and finished inside set time frames.

At a glance

Pay
Not stated in the posting
Remote scope
Remote, United States
Seniority
Mid-level
Employment
Full-time
Skills
Utilization Management, Milliman Care Guidelines, Interqual, Medicare, Medicaid
Posted
20 Oct 2026
Last checked
26 Oct 2026

What you will do

  • Apply clinical nursing skills to interpret and support determinations on services and benefits
  • Make decisions from physician and provider information using established medical criteria
  • Finish request reviews within the set processing time frames

What they look for

  • Compact RN license in your state of residence
  • More than a year of clinical RN experience in a hospital, skilled nursing facility, home health or acute care

How Keywordise applies for you

  1. 1Upload your CVAdd your CV once. It takes about a minute.
  2. 2Tailored to this jobKeywordise writes a CV and a cover letter for this job from your real experience.
  3. 3The form fills itselfName, email, experience and screening questions, field by field.
  4. 4Application sentYou get a receipt and follow it in your dashboard.

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Connect Keywordise to your assistant once, then send it the prompt. It applies for you.

ClaudeConnectorChatGPTConnectorMuseby Meta

Claude

  1. In Claude, open Settings, then Connectors, and choose Add custom connector.
  2. Name it Keywordise and paste the connector URL.
  3. Click Connect, log in to Keywordise and approve. Then send the prompt in a new chat.
Connector URL
https://keywordise.com/mcp

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ChatGPT

  1. In ChatGPT, open Settings, then Connectors. On plans that need it, turn on developer mode first.
  2. Add a new connector with the connector URL and choose OAuth. Leave the client ID and secret empty.
  3. Log in to Keywordise and approve. Then send the prompt in a new chat.
Connector URL
https://keywordise.com/mcp

Disconnect any time in your Keywordise settings.

Muse

  1. Open Muse (muse.ai or the app) and send it the message below.
  2. If Muse asks how to sign in, answer OAuth. Open the sign-in link it sends, log in to Keywordise and approve.
  3. Send the prompt. Muse asks before it sends anything.
Message for Muse
Add a custom connector called Keywordise. It is a remote MCP server at https://keywordise.com/mcp and uses OAuth. Give me the sign-in link.

Muse is available in the US only for now.

Prompt
Apply to Keywordise job m32ztqauxt
How to connect

Questions about this job

Is this a remote job, and where can I work from?

Yes, it is listed as remote, aimed at candidates in the United States.

What does this job pay?

No pay range is stated in the posting.

What experience is needed?

It is a mid-level role. The posting asks for: compact RN license in your state of residence; more than a year of clinical RN experience in a hospital, skilled nursing facility, home health or acute care. Skills it names include Utilization Management, Milliman Care Guidelines, Interqual, Medicare.

How do I apply with Keywordise AI?

Press the Apply with Keywordise AI button and add your CV. Keywordise tailors your CV and cover letter to this posting and sends the application for you, with a free 7-day trial and no card.

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