Remote Nurse - Utilization Management & Pre-Auth Expert
Virginia, St. Louis County, Minnesota, 55792, USA
Listed on 2026-10-10
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Nursing
RN Nurse, Nurse Practitioner, Public Health Nurse
Humana Inc. seeks a Pre-Authorization Nurse to review prior authorization requests for appropriate care and setting, following guidelines and policies. The RN will determine medical necessity and level of care using clinical judgment and refer to internal stakeholders as needed.
The role supports remote work with standard business hours and occasional travel for training or meetings. Applicants must hold an active RN license and have experience in utilization management or discharge planning.
As a Remote Nurse
- Utilization Management & Pre-Auth Expert, you will play an important part at Humana Inc in Virginia, MN, United States.
We appreciate your interest in this position.
Join Humana Inc and contribute to our ongoing work.
Take a moment to read everything above and see whether this role is right for you.
This posting is for the Remote Nurse
- Utilization Management & Pre-Auth Expert role at Humana Inc, based in Virginia, MN, United States.
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