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Remote Utilization Management RN — Health Plan

WPS Health Solutions

Kansas City, MO
  • Remote job

WPS Health Solutions in the United States is seeking an experienced Utilization Management RN to evaluate medical necessity and authorize services for our Health Plan. This role uses clinical judgment and evidence-based criteria to support quality care while controlling costs. Remote work is available in many states; expect collaboration with Medical Directors, documentation of case summaries, and monitoring the Utilization Management queue to meet productivity standards. #J-18808-Ljbffr WPS Health Solutions

Vacancy posted 1 day ago
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