Remote RN: Utilization & Pre-Authorization Specialist
United, St. Mary Parish, Louisiana, USA
Listed on 2026-10-11
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Nursing
RN Nurse, Clinical Nurse Specialist, Healthcare Nursing, Nurse Practitioner
Humana is seeking a Pre-Authorization Nurse to review requests for medical necessity and level of care, working remotely from Virginia or a compact-licensed state. You will educate providers, document clinical data, and make independent determinations within guidelines.
The role requires an active RN license, 2+ years of varied clinical nursing experience, and experience in utilization management; MS Office proficiency and strong independent work skills are essential.
We have an opening for a Remote RN:
Utilization & Pre-Authorization Specialist in United, LA, United States within Bio & Pharmacology & Health.
This role, Remote RN:
Utilization & Pre-Authorization Specialist at Humana, could be your next move.
Are you ready to take on the Remote RN:
Utilization & Pre-Authorization Specialist role at Humana?
We would love to welcome a new Remote RN:
Utilization & Pre-Authorization Specialist to our group in United, LA, United States.
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