Humana, Inc. in Wisconsin is seeking a Behavioral Health Prior Authorization Nurse to join the iCare team. You will review the clinical appropriateness of PA requests to ensure medical necessity and compliance with Medicare and Medicaid criteria.
The role requires an RN license in Wisconsin or a compact state, 1 year of utilization management experience, and 2 years in mental health/substance use rehabilitation. Typical hours are 8:30am–5:00pm CST with remote work and occasional office meetings.
#J-18808-LjbffrRemote Behavioral Health Prior Authorization Nurse in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.