Utilization Management Nurse Location: Remote - Nationwide Preferred Candidate Locations: Daytona, FL, Louisville, KY, San Antonio, TX Full-time Job Description: Become a part of our caring community The Utilization Management RN will collaborate with other health care givers in reviewing medical care and services. This review will involve evaluating actual and proposed care against established CMS Coverage Guidelines/NCQA review criteria. You will be part of a team that focuses on excellent service to others. You will report to a Utilization RN Manager. Use your skills to make an impact Required Qualifications - Active and unrestricted RN license with no disciplinary action - 5+ years of clinical RN experience - 5+ years of Acute Care experience in the Hospital ICU or ER settings - Prior clinical experience, managed care experience, DME, Florida Medicaid OR utilization management experience - Experience cross training and floating among teams - Available for On Call weekend/holiday rotation Preferred Qualifications - BSN or bachelor's degree in a related field - Active and unrestricted Compact Registered Nurse (RN) license with no disciplinary action (including Nevada) - Experience working within Florida Medicaid - Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures - Experience in utilization management within Insurance industry - Medicare Advantage, Medicare or Medicaid Experience - Current nursing experience in a hospital, SNF, LTAC, DME or Home Health. - Bilingual in English and Spanish, with the ability to read/write and speak in both languages Additional Information - Travel for off-site orientation for 2 to 8 weeks - Travel to off-site meetings up to 6 times a year - Working hours are 9:00 am to 6:00 pm EST Preferred Candidate Locations: Daytona, FL, Louisville, KY, San Antonio, TX To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana’s Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.​ Equal Opportunity Employer 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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

• Conduct architectural discovery sessions and "Design-and-Build" workshops • Lead the end-to-end implementation of OpenShift Virtualization • Plan and execute large-scale VM migrations using the Migration Toolkit for Virtualization (MTV) • Build and maintain automated deployment pipelines using Ansible and GitOps principles • Act as a technical liaison between the customer and Red Hat Product Engineering

Role Description Our expanding remote travel team is seeking motivated, service-driven individuals to join us as Travel Client Engagement Consultants. In this role, you'll work closely with clients to help coordinate vacation plans, manage booking details, and provide ongoing assistance to ensure each travel experience is organized, accurate, and stress-free from start to finish. This opportunity is well suited for individuals who enjoy working with people, staying organized, and managing details in a flexible remote environment. No prior experience in the travel industry is required; full training, onboarding, and continuous support are provided. - Partner with clients to understand travel goals, preferences, and scheduling needs - Assist in building and coordinating complete travel arrangements tailored to individual plans - Evaluate travel options including accommodations, flights, cruises, transportation, tours, and activities - Use approved systems to check availability and support reservation processes - Provide timely updates on booking status, confirmations, and itinerary progress - Communicate with clients through phone, email, and online messaging platforms - Manage itinerary updates, booking adjustments, and ongoing service requests - Keep accurate and well-organized client records within internal systems - Stay informed on supplier offers, destination updates, and travel opportunities - Participate in virtual training sessions, onboarding programs, and team development activities Qualifications - Strong communication and interpersonal skills - Excellent attention to detail and organizational abilities - Ability to manage multiple responsibilities independently in a remote setting - Comfortable using email, online systems, and basic computer tools - Reliable internet connection and professional communication habits - Positive, adaptable mindset with willingness to learn - Must be at least 18 years of age - Must be legally authorized to work within the U.S., U.K., Mexico, Australia, Spain, or approved regions Benefits - Fully remote position with flexible scheduling options - Structured onboarding and step-by-step training support - Ongoing mentorship and professional development opportunities - Access to travel planning platforms, supplier networks, and industry tools - Eligibility for travel-related incentives, discounts, and recognition programs - Growth opportunities within a supportive and expanding remote team

Role Description We are expanding our remote travel support division and are seeking motivated, detail-oriented individuals to join our team as Travel Experience Advisors. In this role, you'll help clients navigate the trip planning process by coordinating travel details, assisting with reservations, and providing ongoing support to help create a seamless experience from start to finish. This role is ideal for individuals who enjoy customer interaction, organization, and working independently in a flexible work-from-home environment. No previous travel industry experience is required—comprehensive training and continuous support are provided. - Assist travelers with vacation planning based on their preferences, schedules, and budgets - Coordinate travel services including accommodations, transportation, cruises, tours, and excursions - Research and review travel options using approved supplier systems and booking platforms - Provide updates regarding reservation status, itinerary progress, and travel confirmations - Communicate with clients through phone, email, and online messaging systems - Support itinerary modifications, booking adjustments, and follow-up requests as needed - Stay informed on supplier promotions, destination updates, and travel opportunities - Participate in virtual onboarding, workshops, and ongoing training sessions Qualifications - Strong communication and customer service skills - Detail-oriented with excellent organizational abilities - Comfortable managing responsibilities independently in a remote setting - Reliable internet connection and professional communication habits - Positive mindset and willingness to learn new skills - Must be at least 18 years of age - Must be legally authorized to work within the US, UK, Mexico, Australia, Spain, or approved hiring regions Benefits - Remote work environment with flexible scheduling - Structured onboarding and guided training resources - Ongoing mentorship and professional development opportunities - Access to travel planning systems, supplier partnerships, and industry tools - Eligibility for travel-related perks, discounts, and incentive programs - Supportive team culture with advancement potential Company Description