Icon hamburger
US
What job do you want?
Apply to this job.
Think you're the perfect candidate?
Apply on company site
Thumsup

You’re being taken to an external site to apply.

Enter your email below to receive job recommendations for similar positions.
Mth6bg6lvrrvbgd3fyl

Manager, RN Prior Authorization, Louisville Kentucky Office

Humana Louisville Full-Time
Apply on company site

Required Qualifications

Licensed Registered Nurse (RN) in the state of Kentucky with no disciplinary action and ability to be licensed in multiple states without restriction.

2+ years of management/leadership, project lead or subject matter expert experience

2+ Progressive clinical experience preferably in an acute care, skilled or rehabilitation clinical setting

Strong Proficiency with MS Office Suite to include Word, Excel, Power Point,

6+ years Technical experience aptitude to troubleshoot and resolve system platform and connectivity problems

Experience with the development and implementation of policies and procedures

Ability to work independently under general instructions and with a team

Additional Requirements:

Hours: Typically Monday-Friday 8:00 AM - 5:00 PM with rotating on-call coverage and oversight during weekends and holidays.

Location: Louisville Kentucky office

Valid driver's license, car insurance, and access to an automobile

This role is a part of Humana's Driver Safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits.

This role may require travel about 5%-25% of the time, which is about 2-8 times monthly.

This is a patient facing position and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to complete a test for TB in the event member facing is required.

Completion of a Level II; AHCA Fingerprinting

Preferred Qualifications

Bachelor's Degree

Prior supervisory experience hiring, training, coaching, and termination

1+ year Care Management experience in an acute care, skilled or Rehabilitation clinical setting

Health Plan experience

Medicaid experience

Call center or triage experience

Bilingual is a plus

Additional Information:

Interview Format

As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Montage Voice to enhance our hiring and decision-making ability. Montage Voice allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn't missed) inviting you to participate in a Montage Voice interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

 

Recommended skills

Acute Care
Rehabilitations
Microsoft Excel
Registered Nurse Certified
Microsoft Power Point
Health Policies

Location

CareerBuilder Estimated Salary

Based on Job Title, Location and Skills
$47K
Below Avg. Average Above Avg.

Career Path

See the next step in your career
Manager, RN Prior Authorization, Louisville Kentucky Office
Estimated Salary: $87K
Apply to this job.
Think you're the perfect candidate?
Apply on company site

Help us improve CareerBuilder by providing feedback about this job: Report this job

Report this Job

Once a job has been reported, we will investigate it further. If you require a response, submit your question or concern to our Trust and Site Security Team

Job ID: R-220418

CAREERBUILDER TIP

For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.

By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.