- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Pre - Authorization Nurse 2 reviews prior authorization requests for appropriate ... and approves services or forward requests to the appropriate stakeholder. The Pre - Authorization Nurse 2 work assignments are varied and frequently require… more
- CareFirst (Baltimore, MD)
- …needs and work activities/deliverables that week. **ESSENTIAL FUNCTIONS:** + Reviews pre - authorization case files, departmental workflows and audits to ensure ... **Resp & Qualifications** **PURPOSE:** The role of the Nurse , Quality Review Utilization Management (UM) is to...and company policies and procedures as determined by the pre - authorization management team. Develops, updates, and maintains… more