Remote Utilization Management RN | Medicaid Care Navigator
Humana
Brooklyn, NY
- Remote job
Humana is seeking an Utilization Management Nurse, National Medicaid Clinical Operations, to review prior authorization requests for inpatient services. The role requires independent clinical judgment, collaboration with providers, and adherence to Medicaid policies and health plan requirements. Responsibilities include clinical reviews, coordination with medical directors, documentation in EMR systems, and contributing to quality assurance and training initiatives. #J-18808-Ljbffr Humana
Vacancy posted 22 hours ago
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