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Remote Pre-Authorization Nurse – RN Care Coordinator
Remote / Online - Candidates ideally in
Helena, Lewis and Clark County, Montana, 59604, USA
Listed on 2026-09-05
Helena, Lewis and Clark County, Montana, 59604, USA
Listing for:
Humana
Remote/Work from Home
position Listed on 2026-09-05
Job specializations:
-
Healthcare
Healthcare Nursing
Job Description & How to Apply Below
Humana is seeking a remote Pre-Authorization Nurse to coordinate care for MHS beneficiaries outside the military medical treatment facility. You will monitor care quality and document any issues in the MSR, ensuring smooth patient transfers and discharge planning.
You will review inpatient outliers, refer complex cases to Tier III care management, and use MCG/Inter Qual criteria along with TRICARE experience to support optimal patient outcomes.
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