Humana Inc. is seeking a remote Pre-Authorization Nurse to join our team and report to a Supervisor of Pre-Authorization Nursing. You will coordinate care for MHS beneficiaries outside the MTF, monitor care quality, and document issues.
You will manage patient transfers, review discharge planning, and refer complex cases to Tier III care management as needed. You must have an active RN license, 3+ years of varied clinical RN experience, TRICARE familiarity, and knowledge of MCG or Interqual
#J-18808-LjbffrRemote Pre-Auth Nurse: Utilization & Care Coordination in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.