Utilization Review Nurse
Humana
Humana seeks an experienced Utilization Management Nurse for National Medicaid Clinical Operations to review prior authorization requests for inpatient services. You will apply evidence-based guidelines, ensure policy compliance, and collaborate with medical staff to support timely patient care. Responsibilities include documentation, QA, and provider education. Remote role with occasional travel; typical 40-hour week with a bonus incentive plan potential. #J-18808-Ljbffr
Vacancy posted 20 hours ago
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