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Remote RN: Utilization & Pre-Auth Specialist

Remote / Online - Candidates ideally in
Oklahoma City, Oklahoma County, Oklahoma, 73116, USA
Listing for: Humana Inc
Remote/Work from Home position
Listed on 2026-10-10
Job specializations:
  • Nursing
    Clinical Nurse Specialist, Healthcare Nursing, RN Nurse
Salary/Wage Range or Industry Benchmark: 71000 - 98000 USD Yearly USD 71000.00 98000.00 YEAR
Job Description & How to Apply Below

Humana, Inc. is seeking a Pre-Authorization Nurse to review prior authorization requests and determine appropriate care and setting. The role involves clinical judgment to complete medical necessity reviews and refer complex cases to stakeholders.

Responsibilities include educating providers on utilization processes, data entry in management systems, and making independent decisions within established guidelines. Remote work is available with potential travel for meetings.

This is a strong position to take on the Remote RN:
Utilization & Pre-Auth Specialist role at Humana Inc.

We are currently recruiting a Remote RN:
Utilization & Pre-Auth Specialist for our team in Oklahoma City, OK, United States.

As a Remote RN:
Utilization & Pre-Auth Specialist, you will play an important part at Humana Inc in Oklahoma City, OK, United States.

We invite applications for the Remote RN:
Utilization & Pre-Auth Specialist position located in Oklahoma City, OK, United States.

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