Remote Utilization Management RN — Impact & Growth Path
WPS—A health solutions company
- Remote job
WPS, a health solutions company, is seeking an Utilization Management RN to evaluate medical necessity and support appropriate care for members enrolled in our health plan. The role emphasizes evidence-based review, collaboration with medical directors, and opportunities to cross-train in Case Management with potential for a blended UM/CM position. This position offers remote work options within approved states including Virginia, with competitive base salary of 75k to 100k and benefits. #J-18808-Ljbffr WPS—A health solutions company
$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 job$75k - $100k
...health solutions company is seeking an experienced Utilization Management RN to evaluate the necessity and appropriateness of... ...with medical directors. The role offers remote work with quotas and potential growth into CM. Start date is 01/10/2027 and salary ranges...Remote job- 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 job
- WPS Health Solutions seeks an experienced Utilization Management Registered Nurse (UM RN) to evaluate efficiency, appropriateness, and medical necessity for... ...cross-training in Case Management with potential growth into a combined UM/CM position and future CM opportunities...Remote job
$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 job$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 job$75k - $100k
WPS, a health solutions company, seeks an Utilization Management RN to evaluate medical necessity and authorize services for our Health Plan. You... ...hospital stays. Cross-training in Case Management offers growth toward a combined UM/CM role in the future. Start date is 0...Remote job$70k - $75k
Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data... ...healthcare on a better path!! The Utilization... ...including review of cases impacting performance metrics and... ...continued professional growth and education consistent...Remote jobBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...solutions company is seeking a Utilization Management Registered Nurse to... ...our Health Plan. The UM RN will refer cases to medical... ...Management for future growth. The role supports remote work within approved states... ...expand responsibilities and impact on medical loss ratio....Remote job
$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 job- WPS Health Solutions seeks an Utilization Management RN to evaluate efficiency, appropriateness, and medical... ...for questionable cases. We offer remote work in numerous states and... ...train in Case Management, with potential growth into a combined UM/CM role in the future...Remote job
$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 job- WPS—A health solutions company is seeking an Utilization Management RN who evaluates efficiency, appropriateness,... ...and 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...Remote job
$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 job$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 job- WPS Health Solutions is seeking an Utilization Management RN to evaluate medical necessity and authorize services for... ...training in Case Management. The position offers remote/hybrid options across multiple states with growth opportunities toward a combined UM/CM role in...Remote job
- 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 job
- 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 job
- WPS, a health solutions company, is seeking an Utilization Management RN to assess medical necessity, authorize services,... ...coordinate care with medical directors. The role offers remote work in multiple states and a potential path toward combined UM/CM responsibilities. There is...Remote job
$75k - $100k
...health solutions company is seeking a Registered Nurse for Utilization Management to evaluate medical necessity and appropriateness of services... ...combined UM/CM position with potential future advancement. Remote work is available for qualified states, including FL. The position...Remote job- Guidehealth, a data-powered healthcare company, seeks a Utilization Management Registered Nurse (RN) to perform utilization review remotely. The role supports compliance with federal and state regulations and URAC standards, applying medical necessity criteria to documentation...Remote job
- Cambia Health Solutions, Inc. is seeking a Utilization Management Nurse to perform prospect, concurrent, and retrospective reviews from a remote setting across Oregon, Washington, Idaho... ...in Nursing or a related field, active RN licensure, and approximately 3 years of experience...Remote job
- WPS Health Solutions in Minnesota is seeking a Utilization Management RN to evaluate efficiency, appropriateness, and medical necessity for services... ...and authorize care when appropriate. This position offers remote work options with potential to cross-train in Case...Remote job
- WPS Health Solutions seeks an Utilization Management RN to evaluate medical necessity and appropriateness of services for our health plan. This... ...unnecessary procedures and extended hospital stays. We support remote work in multiple states and offer opportunities to grow...Remote job
$75k - $100k
WPS Health Solutions in Madison, WI seeks an Utilization Management RN to evaluate medical necessity and authorize services using evidence-based... ...to grow into a combined UM/CM position. The position offers remote/hybrid options across approved states and a salary range of...Remote job$21 per hour
...to deliver value-based care management initiatives for their patients... ...attention to detail, and values the impact they can have on a patient’s... ...'s in it for you? Fully remote position - Work from the... ...per year on average. Career growth - Many of our team members move...Remote workFull timeWork experience placementWork at officeHome officeMonday to FridayShift work$23 per hour
...to deliver value-based care management initiatives for their patients... ...attention to detail, and values the impact they can have on a patient’s... ...'s in it for you? Fully remote position - Work from the... ...per year on average. Career growth - Many of our team members move...Remote workFull timeWork experience placementWork at officeHome officeMonday to Friday$81.95k - $110.24k
...enabled revenue cycle management solutions for health... ...healthcare. The Lead Utilization Review RN is a key contributor... ...a positive financial impact to the institution... ...of the principles of growth and development of the... ...required #LI-LS1 #LI-REMOTE Join an award-...Remote workFull timeWork at officeLocal area- ...throughout the region. Organization Utilization Management Job Summary Facilitates optimal reimbursement... ...Core Accountabilities Organizational Impact: Executes job responsibilities with... ...your well-being and professional growth. Vanderbilt Health is committed to fostering...Remote jobTemporary workWork experience placementLive outFlexible hours
$39.4 - $53 per hour
...enabled revenue cycle management solutions for health... ...Position Overview The Lead Utilization Review RN is a key contributor... ...a positive financial impact to the institution... ...of the principles of growth and development of... ...Monster Top Workplace for Remote Work 2024 Great Place...Remote workWork at officeLocal area
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