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Remote Utilization Management RN (Medicaid
Remote / Online - Candidates ideally in
Frankfort, Franklin County, Kentucky, 40601, USA
Listed on 2026-08-08
Frankfort, Franklin County, Kentucky, 40601, USA
Listing for:
Humana Inc
Remote/Work from Home
position Listed on 2026-08-08
Job specializations:
-
Management
Healthcare Management
Job Description & How to Apply Below
Humana Inc. is seeking a Utilization Management Nurse, National Medicaid Clinical Operations, to review prior authorization requests for inpatient services and determine medical necessity in alignment with health plan policies and regulations.
The RN collaborates with providers, medical directors, and interdisciplinary teams to enable timely, appropriate care and reports to the Manager, Utilization Management. This remote role may require occasional travel.
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