Remote Pre-Authorization Nurse: Care Utilization Expert
Virginia, St. Louis County, Minnesota, 55792, USA
Listed on 2026-10-10
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Nursing
Nurse Practitioner, RN Nurse, Healthcare Nursing, Emergency Medicine
Humana Inc. is seeking a Pre-Authorization Nurse to review prior authorization requests, determine medical necessity, and educate providers on utilization management processes.
The role requires clinical judgment, independent decision making, and the ability to navigate multiple systems in a remote environment. Candidates should have an active RN license (Virginia or compact state), 2+ years of acute or rehab nursing, and knowledge of case management, discharge planning, or home health.
We are currently recruiting a Remote Pre-Authorization Nurse:
Care Utilization Expert for our team in Virginia, MN, United States.
The Remote Pre-Authorization Nurse:
Care Utilization Expert role at Humana Inc is now open for applications in Virginia, MN, United States.
Join us at Humana Inc as our next Remote Pre-Authorization Nurse:
Care Utilization Expert in Virginia, MN, United States.
This is an excellent opportunity to take on the Remote Pre-Authorization Nurse:
Care Utilization Expert role at Humana Inc.
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