Remote RN: Pre-Authorization & Utilization Review
Humana
Columbus, OH
- Remote job
Humana is seeking a Pre-Authorization Nurse to review and approve prior authorization requests, applying clinical judgment across care settings. The role involves education of providers, data entry in management systems, and adherence to guidelines in a remote environment. Candidates should hold an active RN license in Virginia or a compact state, with 2+ years of acute or rehab nursing experience and familiarity with utilization management and discharge planning. #J-18808-Ljbffr Humana
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Remote RN: Pre-Authorization & Utilization Review in Columbus, OH vacancy
$71.1k - $97.8k
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Dallas, TX3 days ago $63.1k - $94.65k
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Green Key Resources
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Netsmart
United States1 day ago $30 - $38 per hour
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Universal Health Services
Augusta, GA1 day ago $63.1k - $94.65k
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Miami Jewish Health
Doral, FL4 days ago $71.1k - $97.8k
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Randstad USA
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SPECTRAFORCE
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The Judge Group, LLC
New York, NY1 day ago $35 - $40 per hour
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Minneapolis, MN2 days ago$35 - $40 per hour
...containment, and analytics. Job Title RN Utilization Management Reviewer Responsibilities Conduct timely... ...review for services requiring prior authorization in a variety of clinical areas, including... ...require weekends. Location: Fully remote work at home role. Secure, private...Remote workHourly payTemporary workMonday to FridayFlexible hoursWeekend workSagility LLC
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