# Job Position
**Position:** Manager, Prior Authorization

**Company:** Humana

**Location:** Kentucky

**Country:** US

**Work Type:** Full-time

**Salary:** $84,600 - $116,300 a year

**Company Rating:** 3.6/5 (8175 reviews)

**Posted:** "2024-08-07T21:20:26.000Z"

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## Job Description

Become a part of our caring community and help us put health first  The Manager, Pre-Authorization Nursing oversees the UM nurses who complete the medical necessity and level of care reviews for requested outpatient services and the UM coordinators who support the clinical team in daily operations. The UM manager is responsible to educate providers on utilization and medical management processes for KY Medicaid. This professional is also responsible to review and document compliance to our KY Medicaid state contract requirements and NCQA guidelines for all direct reports.
   The Manager, Pre-Authorization Nursing    Oversees the UM nurses who complete the medical necessity and level of care reviews for requested outpatient services and the UM coordinators who support the clinical team in d