Remote Utilization Management RN - Medicaid Specialist
Humana
Brooklyn, NY
- Remote job
Humana seeks a qualified Utilization Management Nurse for National Medicaid Clinical Operations. The role reviews prior authorization requests for inpatient services, ensuring medical necessity and policy compliance while collaborating with clinicians and nonclinical staff. Reports to the Manager, Utilization Management. The position requires RN licensure in Illinois (or willingness to obtain) and 3+ years of nursing experience, with expertise in Medicaid policies, EMR systems, and utilization #J-18808-Ljbffr Humana
Vacancy posted 1 day ago
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