Remote Utilization Management RN — Path to CM
WPS Health Solutions
Jacksonville, FL
- Remote job
WPS Health Solutions is seeking an Utilization Management RN to evaluate medical necessity and authorize services for our Health Plan. This role involves clinical judgment, collaboration with Medical Directors, and potential cross-training in 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 WPS Health Solutions
Vacancy posted 1 day ago
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$75k - $100k
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WPS Health Solutions is seeking a Utilization Management Registered Nurse to evaluate efficiency, appropriateness, and medical... ...with potential growth into a combined UM/CM position. The position offers remote work options in multiple states, including Texas, with...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
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WPS Health Solutions is seeking an Utilization Management RN to evaluate efficiency and medical necessity for health plan services... ...training in Case Management with potential growth into CM. Start date 01/10/2027. Remote work is available in multiple states, including...Remote jobCms$75k - $100k
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...norm and every member feels valued.The Utilization Review RN will review and document member case... ...revision of medical policies and utilization management and/or clinical appeals policies.... ...RN license requiredThis position is a Remote role. To be eligible for consideration...Remote workCmsWork experience placementMedica
Minnetonka, MN3 days ago
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