Humana is seeking a Pre-Authorization Nurse to review prior authorization requests for appropriate care and setting, using clinical judgment to approve or refer as needed.
The role emphasizes education of providers, documentation in medical management systems, and independent decision-making within established guidelines. Remote work options and standard 40-hour weeks are provided, with occasional travel for meetings as required.
#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.