Pre-Authorization Nurse 2
Humana(1 month ago)
About this role
A Pre-Authorization Nurse 2 at Humana is a licensed registered nurse role within the health insurance/healthcare environment focused on clinical review and medical management supporting appropriate care decisions. The position contributes to improving member experience and aligns with organizational strategy and operating objectives. This is a full-time, remote role with occasional travel for training or meetings.
Required Skills
- Utilization Management
- Clinical Judgment
- Prior Authorization
- Medical Necessity
- Case Management
- Discharge Planning
- Home Health
- MS Office
- Provider Education
- MCG
+1 more
Qualifications
- Active RN License
- Bachelor's Degree
About Humana
humana.comExplore Medicare plans and health insurance coverage to fit your lifestyle. Turning 65 or recently qualified? Sign up for Medicare coverage! Start with healthy, start with Humana.
View more jobs at Humana →Apply instantly with AI
Let ApplyBlast auto-apply to jobs like this for you. Save hours on applications and land your dream job faster.
More jobs at Humana
Similar Jobs
UM Prior Authorization Nurse, RN (Work from Home)
NeueHealth(1 year ago)
Clinical Reviewer, Nurse (Medical Oncology)
Evolent Specialty Services, Inc(2 months ago)
Utilization Review Nurse
Oscar Health(2 months ago)
Utilization Management Clinical Nurse Consultant - Prior Authorization
Clinical Careers Page(26 days ago)
Registered Nurse RN Prior Authorization Medical Management Services
Banner Health(1 month ago)
Utilization Management Care Manager
Brigham and Women(1 month ago)