Remote Utilization Management RN (Medicaid
Remote / Online - Candidates ideally in
Cicero, Cook County, Illinois, 60804, USA
Listed on 2026-08-06
Cicero, Cook County, Illinois, 60804, USA
Listing for:
Humana Inc
Remote/Work from Home
position Listed on 2026-08-06
Job specializations:
-
Nursing
Job Description & How to Apply Below
Humana Inc. is seeking an experienced Utilization Management Nurse, National Medicaid Clinical Operations, to review prior authorization requests for inpatient services and determine medical necessity in line with policies and regulatory requirements.
The RN will collaborate with providers, physicians, and interdisciplinary teams, document decisions in EMR, and participate in performance improvement initiatives. Remote with travel, schedule Mon-Fri with weekend options.
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