• Prior Authorization RN

    Humana (Richmond, VA)
    …part of our caring community and help us put health first** Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. ... This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that...make an impact** **Required Qualifications** + Licensed as a Registered Nurse in the State of Wisconsin,… more
    Humana (01/13/26)
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  • Utilization Management Registered

    Humana (Richmond, VA)
    …your skills to make an impact** **Required Qualifications** + Active unrestricted Compact Registered Nurse , (eNLC) license ( RN ) with no disciplinary action ... you reside, with the ability to obtain multiple state registered nurse license + At least three...**Preferred Qualifications** + Bachelor's degree + Previous experience in prior authorization , claims, provider disputes and/or utilization… more
    Humana (01/09/26)
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