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Remote Prior Authorization RN – Utilization Review; WI

Remote / Online - Candidates ideally in
Raleigh, Wake County, North Carolina, 27601, USA
Listing for: Humana
Remote/Work from Home position
Listed on 2026-06-15
Job specializations:
  • Nursing
    Healthcare Nursing, RN Nurse
Salary/Wage Range or Industry Benchmark: 71100 - 97800 USD Yearly USD 71100.00 97800.00 YEAR
Job Description & How to Apply Below
Position: Remote Prior Authorization RN – Utilization Review (WI)

Humana is seeking a Prior Authorization RN to join its team in the Wisconsin Medicaid Market, primarily working remotely. In this role, you will review prior authorization requests, ensuring medical necessity and compliance with guidelines.

The ideal candidate will be a licensed Registered Nurse with at least 2 years of clinical experience and familiarity with Utilization Management. Competitive benefits and a salary range of $71,100 to $97,800 per year are offered, along with a supportive work culture.

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