Remote Utilization Management RN - Path to CM Growth
$75k - $100kWPS Health Solutions
- Remote job
WPS Health Solutions is seeking an Utilization Management RN to evaluate medical necessity and authorize services in coordination with medical directors. This role emphasizes evidence-based decision-making, case reviews, and referral when criteria aren’t met. There is open potential for cross-training in Case Management and for progression into a combined UM/CM position in the future, with a start date of 01/10/2027 and a salary range of $75,000–$100,000. #J-18808-Ljbffr WPS Health Solutions
$75k - $100k
WPS Health Solutions is seeking a Utilization Management RN to evaluate medical necessity and approve appropriate... ...potential into Case Management with future growth into CM and a broader UM/CM path. The position offers remote work in approved states, with a start date of...Remote jobCms$75k - $100k
...health solutions company is seeking an experienced Utilization Management RN to evaluate the necessity and appropriateness... ...with medical directors. The role offers remote work with quotas and potential growth into CM. Start date is 01/10/2027 and salary ranges from...Remote jobCms- WPS, a health solutions company, is hiring an Utilization Management RN to evaluate medical necessity and... ...cross-train for Case Management, with potential growth into a combined UM/CM role. The position supports remote work in approved states across the U.S., including...Remote jobCms
- WPS Health Solutions seeks an experienced Utilization Management Registered Nurse (UM RN) to evaluate efficiency, appropriateness, and medical... ...cross-training in Case Management with potential growth into a combined UM/CM position and future CM opportunities. The candidate...Remote jobCms
$75k - $100k
...a health solutions company, seeks an Utilization Management RN to evaluate medical necessity and authorize... ...in Case Management with potential growth into a combined UM/CM position or CM in the future. Start Date: 01/10/2027. Remote work options available in a defined set...Remote jobCms$75k - $100k
WPS Health Solutions is seeking a Utilization Management Registered Nurse to evaluate medical necessity and appropriateness... ...-training in Case Management and potential growth into a combined UM/CM position. The position offers remote work in approved states, a salary range of $7...Remote jobCms$75k - $100k
WPS, a health solutions company, seeks an Utilization Management RN to evaluate medical necessity and authorize services for our Health... ...stays. Cross-training in Case Management offers growth toward a combined UM/CM role in the future. Start date is 01/10/2027 with a salary...Remote jobCms- WPS, a health solutions company, is seeking an Utilization Management RN to evaluate medical necessity and support appropriate... ...in Case Management with potential for a blended UM/CM position. This position offers remote work options within approved states including...Remote jobCms
$75k - $100k
WPS Health Solutions is seeking an Utilization Management RN to evaluate medical necessity and authorize... ...train in Case Management with potential growth into a combined UM/CM position or CM in the future. The position offers remote work options across approved states and...Remote jobCms- WPS Health Solutions seeks an Utilization Management RN to evaluate efficiency, appropriateness... ...for questionable cases. We offer remote work in numerous states and opportunities... ...Case Management, with potential growth into a combined UM/CM role in the future. #J-18808-...Remote jobCms
- ...health solutions company is seeking a Utilization Management Registered Nurse to evaluate... ...services for our Health Plan. The UM RN will refer cases to medical directors... ...train in Case Management for future growth. The role supports remote work within approved states, with a...Remote jobCms
$75k - $100k
WPS Health Solutions is seeking a Utilization Management Registered Nurse to evaluate efficiency, appropriateness... ...cross-train in Case Management with potential growth into a combined UM/CM position. The position offers remote work options in multiple states, including...Remote jobCms- ...health solutions company is seeking an Utilization Management RN who evaluates efficiency, appropriateness... ...refer cases that do not meet criteria. Remote work is allowed for specified states, with potential growth into combined UM/CM roles. A strong background in managed...Remote jobCms
$75k - $100k
WPS Health Solutions is seeking an Utilization Management RN to evaluate medical services for appropriateness and necessity... ...cross-training in Case Management with growth into a combined UM/CM position. The position is remote with approved states including GA; starts 01/...Remote jobCms$75k - $100k
WPS Health Solutions is seeking an Utilization Management RN to evaluate efficiency and medical necessity for health plan services... ...cross-training in Case Management with potential growth into CM. Start date 01/10/2027. Remote work is available in multiple states, including...Remote jobCms- WPS Health Solutions is seeking an Utilization Management RN to evaluate medical necessity and authorize... ...Case Management. The position offers remote/hybrid options across multiple states with growth opportunities toward a combined UM/CM role in the future. #J-18808-Ljbffr...Remote jobCms
- ...a health solutions company, is seeking an Utilization Management RN to assess medical necessity, authorize services... ...with medical directors. The role offers remote work in multiple states and a potential path toward combined UM/CM responsibilities. There is a strong...Remote jobCms
- WPS Health Solutions is seeking a Utilization Management Registered Nurse to evaluate medical necessity for services,... ...collaborate with Medical Directors. The role offers remote work within approved states and potential growth into Case Management. Experience in managed...Remote jobCms
- WPS, a health solutions company, seeks an Utilization Management RN to assess efficiency, medical necessity, and authorize services... ...cross-training in Case Management and potential growth into a combined UM/CM position. Remote-friendly with growth opportunities, the role...Remote jobCms
$75k - $100k
...solutions company is seeking a Registered Nurse for Utilization Management to evaluate medical necessity and... ...into Case Management and grow into a combined UM/CM position with potential future advancement. Remote work is available for qualified states, including...Remote jobCms- ...Health Solutions in Minnesota is seeking a Utilization Management RN to evaluate efficiency, appropriateness... ...when appropriate. This position offers remote work options with potential to cross-... ...Management and grow into a combined UM/CM role or CM in the future. Start date is...Remote jobCms
$75k - $100k
WPS Health Solutions in Madison, WI seeks an Utilization Management RN to evaluate medical necessity and authorize services using... ..., with potential to grow into a combined UM/CM position. The position offers remote/hybrid options across approved states and a salary...Remote jobCms- WPS Health Solutions seeks an Utilization Management RN to evaluate medical necessity and appropriateness... ...extended hospital stays. We support remote work in multiple states and offer opportunities to grow into a combined UM/CM role. #J-18808-Ljbffr WPS Health SolutionsRemote jobCms
- WPS is seeking an Utilization Management RN to evaluate medical necessity for services and authorize... ...cross-train in Case Management with growth into UM/CM roles. The position offers... ...documentation of case summaries, and remote work options in approved states. #J...Remote jobCms
$75k - $100k
...Health Solutions in Madison, Wisconsin, seeks a Utilization Management RN to evaluate medical necessity for services,... ...cross-training in Case Management and growth into a combined UM/CM position. Start Date: 01/10/2027. Remote work option available in approved states including...Remote jobCms- WPS, a health solutions company, seeks an Utilization Management RN to evaluate medical necessity and service appropriateness for our... ...may cross-train in Case Management with potential growth into CM roles. Remote work is available in Colorado and other states; the position...Remote jobCms
- WPS Health Solutions seeks a Utilization Management RN to evaluate medical necessity and authorize appropriate services... ...training in Case Management with potential growth into a combined UM/CM position. Start Date: 01/10/2027. Remote work is available in numerous states,...Remote jobCms
$81.95k - $110.24k
...technology-enabled revenue cycle management solutions for health... ...in healthcare. The Lead Utilization Review RN is a key contributor to the... ...knowledge of the principles of growth and development of the life... ...required #LI-LS1 #LI-REMOTE Join an award-winning company...Remote workCmsFull timeWork at officeLocal area$63.1k - $94.65k
...-enabled revenue cycle management solutions for health systems... ...have current compact RN license, or be willing... ...are seeking Virtual Utilization Review Specialist with... ...knowledge of the principles of growth and development of the... ...: ~ This is a remote role which requires access...Remote workCmsFull timeTemporary workWork at officeLocal areaMonday to FridayShift work$39.4 - $53 per hour
...technology-enabled revenue cycle management solutions for health... ...Position Overview The Lead Utilization Review RN is a key contributor to the... ...knowledge of the principles of growth and development of the life... ...Monster Top Workplace for Remote Work 2024 Great Place to...Remote workCmsWork at officeLocal area
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