Humana Inc. seeks a Pre-Authorization Nurse to review prior authorization requests, determine appropriate care, and educate providers on utilization management.
The role requires independent clinical judgment, system data entry, and adherence to guidelines to support Humana's Care Management objectives. The candidate should have 2+ years of RN experience, an active Louisiana RN license (or ability to obtain multi-state licensure), and proficiency in MS Office.
#J-18808-LjbffrRN, Utilization & Prior Authorization (Remote) in louisiana at Unknown Company
This position is listed as full time and onsite.