Utilization Review Nurse

Humana is seeking a Pre-Authorization Nurse for remote work to review prior authorization requests and determine appropriate care following guidelines. The role involves clinical judgment, data entry in management systems, and collaboration with internal stakeholders.

A Virginia or compact-licensed RN with 2+ years of acute care experience is required, along with MS Office proficiency. Remote work at home with potential travel up to 5% for meetings; 40-hour workweek, 8:00 AM–5:00 PM ET;