Remote Utilization Management RN - Medicaid Review
Remote / Online - Candidates ideally in
North Charleston, Charleston County, South Carolina, 29405, USA
Listed on 2026-08-09
North Charleston, Charleston County, South Carolina, 29405, USA
Listing for:
Humana
Remote/Work from Home
position Listed on 2026-08-09
Job specializations:
-
Healthcare
Job Description & How to Apply Below
Humana seeks an experienced Utilization Management Nurse, National Medicaid Clinical Operations, to review prior authorization requests for inpatient services. You’ll apply clinical guidelines, ensure medical necessity, and collaborate with healthcare providers and interdisciplinary teams.
The role reports to the Manager, Utilization Management and supports timely, compliant care. The position offers a typical Monday–Friday schedule with weekend coverage as needed, remote work, and a
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