About this opportunity
Humana Inc lists this RN, Utilization & Prior Authorization (Remote) opportunity in louisiana, Missouri. Review the employer’s description below for duties, qualifications and application requirements.
Job description
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.
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Worksite address
louisiana, MO, 63353, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.