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Remote Prior Authorization RN – Medicaid Utilization Review
Remote / Online - Candidates ideally in
Enid, Garfield County, Oklahoma, 73702, USA
Listed on 2026-08-11
Enid, Garfield County, Oklahoma, 73702, USA
Listing for:
Humana
Remote/Work from Home
position Listed on 2026-08-11
Job specializations:
-
Healthcare
Healthcare Administration
Job Description & How to Apply Below
Humana is seeking a Prior Authorization Nurse within National Medicaid Clinical Operations to review and evaluate documentation for outpatient services, ensuring medical necessity and policy compliance.
You will collaborate with providers and interdisciplinary teams, document findings in EMR systems, and support performance improvement projects while working a typical Mon-Fri schedule with occasional weekend coverage and remote work options.
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