Remote Utilization Management RN
WPS Health Solutions
Omaha, NE
- Remote job
WPS Health Solutions is seeking an experienced Utilization Management RN to evaluate medical necessity, authorize services, and coordinate patient care for our Health Plan. You will review cases against evidence-based criteria and refer questionable cases to medical directors. This remote-friendly role requires strong clinical judgment, prior authorization experience in managed care, and the ability to work cross-functionally with medical directors, Sales, Claims, and Enrollment teams. #J-18808-Ljbffr WPS Health Solutions
Vacancy posted 2 days ago
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