Humana is seeking a Pre-Authorization Nurse to review requests for medical necessity and level of care, working remotely from Virginia or a compact-licensed state. You will educate providers, document clinical data, and make independent determinations within guidelines.
The role requires an active RN license, 2+ years of varied clinical nursing experience, and experience in utilization management; MS Office proficiency and strong independent work skills are essential.
#J-18808-LjbffrRemote RN: Utilization & Pre-Authorization Specialist in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.