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Remote Utilization Management RN — Medicaid Prior Auth
Remote / Online - Candidates ideally in
Cicero, Cook County, Illinois, 60804, USA
Listed on 2026-08-08
Cicero, Cook County, Illinois, 60804, USA
Listing for:
Humana
Remote/Work from Home
position Listed on 2026-08-08
Job specializations:
-
Nursing
Public Health Nurse
Job Description & How to Apply Below
Humana is seeking an Utilization Management Nurse in National Medicaid Clinical Operations to review prior authorization requests for inpatient services. You will apply evidence-based guidelines, ensure medical necessity, and coordinate with providers and teams. This remote role may require occasional travel to Humana offices.
The position reports to the Manager, Utilization Management. A Licensed Registered Nurse in Illinois with 3+ years of clinical experience and Medicaid knowledge is
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