Humana is seeking a Pre-Authorization Nurse to review and authorize care requests in a remote role based in Virginia or a compact-license state. You will evaluate medical necessity, coordinate with internal stakeholders, and educate providers on utilization processes.
The position requires an active Virginia RN license (or eNLC-compatible state), 2+ years of acute care experience, and proficiency with MS Office and multiple systems.
#J-18808-LjbffrRemote Utilization Nurse Pre-Authorization & Care Review in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.