Humana is seeking a Pre-Authorization Nurse to review and approve prior authorization requests, applying clinical judgment across care settings. The role involves education of providers, data entry in management systems, and adherence to guidelines in a remote environment.
Candidates should hold an active RN license in Virginia or a compact state, with 2+ years of acute or rehab nursing experience and familiarity with utilization management and discharge planning.
#J-18808-LjbffrRemote RN: Pre-Authorization & Utilization Review in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.