Humana Inc. is seeking a Pre-Authorization Nurse to review prior authorization requests, determine medical necessity, and educate providers on utilization management processes.
The role requires clinical judgment, independent decision making, and the ability to navigate multiple systems in a remote environment. Candidates should have an active RN license (Virginia or compact state), 2+ years of acute or rehab nursing, and knowledge of case management, discharge planning, or home health.
#J-18808-LjbffrRemote Pre-Authorization Nurse: Care Utilization Expert in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.