Humana is seeking a Pre-Authorization Nurse to review prior authorization requests for medical necessity and level of care, making independent determinations as needed.
The role requires an active RN license (VA or compact), 2+ years of varied clinical nursing experience, and knowledge of utilization management, discharge planning, or home health. Remote work with occasional travel may apply.
#J-18808-LjbffrRemote RN: Pre-Authorization & Care Management in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.