Remote Utilization Management RN—Growth to Case Management
WPS—A health solutions company
- Remote job
WPS, a health solutions company, seeks an Utilization Management RN to assess efficiency, medical necessity, and authorize services for our Health Plan. The role includes cross-training in Case Management and potential growth into a combined UM/CM position. Remote-friendly with growth opportunities, the role requires Wisconsin RN licensure and 4+ years in varied clinical settings, plus 2+ years in managed care and strong analytical, communication, and collaboration skills. #J-18808-Ljbffr WPS—A health solutions company
- ...health solutions company, is hiring an Utilization Management RN to evaluate medical necessity and... ...decision-making and may 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....Remote job
- WPS Health Solutions seeks an Utilization Management RN to evaluate efficiency, appropriateness,... ...medical directors for questionable cases. We offer remote work in numerous states and opportunities... ...in Case Management, with potential growth into a combined UM/CM role in the...Remote job
- WPS Health Solutions seeks an experienced Utilization Management Registered Nurse (UM RN) to evaluate efficiency, appropriateness, and medical... ...Plan. The role includes cross-training in Case Management with potential growth into a combined UM/CM position and future CM opportunities...Remote job
$75k - $100k
...a health solutions company, seeks an Utilization Management RN to evaluate medical necessity and authorize... ...Plan. You will refer questionable cases to medical directors to prevent unnecessary... ...-training in Case Management offers growth toward a combined UM/CM role in the...Remote job$75k - $100k
WPS Health Solutions is seeking a Utilization Management RN to evaluate medical necessity and approve... ...cross-training 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...Remote job$75k - $100k
...Health Solutions is seeking a Utilization Management Registered Nurse to evaluate... ...authorize care and referring cases when needed. The role includes... ...Management and potential growth into a combined UM/CM position. The position offers remote work in approved states, a salary...Remote job$75k - $100k
...health solutions company, seeks an Utilization Management RN to evaluate medical necessity and... ...role involves cross-training in Case Management with potential growth into a combined UM/CM position or... ...future. Start Date: 01/10/2027. Remote work options available in a defined...Remote job- ...health solutions company, is seeking an Utilization Management RN to evaluate medical necessity and... ..., 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...Remote job
- WPS Health Solutions in Minnesota is seeking a Utilization Management RN to evaluate efficiency, appropriateness, and... ...authorize care when appropriate. This position offers remote work options with potential to cross-train in Case Management and grow into a combined UM/CM role...Remote job
$68.81k - $120.72k
...regulatory requirements and manages concurrent and pre-bill... ...of the principles of growth, development, and... ...for in-house patients, utilizing daily commercial authorization... ...Management or Case Management [Preferred]Licenses... ...Nurse (RN) [Required]Accredited Case...Remote workLocal areaShift workWeekend work$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 is seeking an Utilization Management RN to evaluate medical necessity for services... ...and may refer questionable cases to medical directors to... ...train in Case Management with growth into UM/CM roles. The position... ...of case summaries, and remote work options in approved states...Remote job
$75k - $100k
WPS Health Solutions is seeking an Utilization Management RN to evaluate medical necessity and... .... The role may cross-train in Case Management with potential growth into a combined UM/CM position or... ...the future. The position offers remote work options across approved states...Remote job$38.91 - $60.31 per hour
...Colorado For This Fully Remote Position Location:... ...criteria. Provides case management and/or consultation for... ...as a Registered Nurse (RN). Minimum Experience:... ...Preferred: 3 years of utilization or case management experience... ..., organizational growth, financial goals and...Remote workFull timeTemporary workLocal areaFlexible hoursShift work$75k - $100k
...Health Solutions is seeking an Utilization Management RN to evaluate medical services... ...services, referring cases to medical directors, and potential... ...training in Case Management with growth into a combined UM/CM position. The position is remote with approved states...Remote job$75k - $100k
WPS Health Solutions is seeking a Utilization Management Registered Nurse to evaluate efficiency,... ...Health Plan. This role may cross-train in Case Management with potential growth into a combined UM/CM position. The position offers remote work options in multiple states,...Remote job$75k - $100k
WPS Health Solutions is seeking an Utilization Management RN to evaluate efficiency and medical necessity for... .... The role includes 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... ..., and potential cross-training in Case Management. The position offers remote/hybrid options across multiple states with growth opportunities toward a combined UM/CM...Remote job
- WPS Health Solutions seeks a Utilization Management RN to evaluate medical necessity and authorize... ...The role offers cross-training in Case Management with potential growth into a combined UM/CM position. Start Date: 01/10/2027. Remote work is available in numerous...Remote job
- WPS Health Solutions is seeking a Utilization Management Registered Nurse to evaluate medical necessity for services... ...with Medical Directors. The role offers remote work within approved states and potential growth into Case Management. Experience in managed care and strong...Remote job
- ...health solutions company, seeks an Utilization Management RN to evaluate medical necessity and... ...will authorize care, refer complex cases to medical directors, and may... ...in Case Management with potential growth into CM roles. Remote work is available in Colorado and...Remote job
- ...Cambia seeks an Utilization Management Nurse to work remotely from OR, WA, ID or UT with preference to current employees and residents of Idaho and Utah.... .... The role requires nursing licensure, 3+ years in case or utilization management, and collaboration with interdisciplinary...Remote work
- ...Cambia Health is seeking an Utilization Management Nurse who can conduct prospective, concurrent, and retrospective reviews to ensure medical... ...physicians as needed. In this role, you will collaborate with case management and other departments, support transitions of...Remote work
- ...Job Title: Utilization Management Registered Nurse (UM RN) – SNF / MLTC Location: Remote (Must reside in NY, NJ, or CT) Schedule: Monday – Friday, 9:00 AM – 5:00 PM... ...physicians, nurse practitioners, social workers, case managers, therapists, and facility leadership...Remote workFull timeMonday to Friday
- ...Utilization Management Nurse Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse... ...for referrals to case management and condition... ...skills, RN and clinical experience... ...This is why we are a growth company and why we are...Remote workFull timeWork at office
$39 - $40 per hour
...Healthcare Recruiter at The Judge Group Utilization Management Registered Nurse (RN) Type: 6-Month Contract W2 Location: Remote - but MUST reside in one of the... ...Perform delegated tasks within the Nurse Case Management job family Collaborate with...Remote workDaily paidContract workMonday to FridayShift workWeekend work- ...resources to meet their care conditions. Reports to the Health Plan Manager of Utilization Management. This position will be an integral member of the... ...healthcare outcomes may be enhanced by coaching and/or case management interventions. 7. Understands the data that is...Remote workCasual workWork at officeShift work
$75k - $100k
...company is seeking a Registered Nurse for Utilization Management to evaluate medical necessity and... ...services. The role may cross-train into Case Management and grow into a combined UM/... ...position with potential future advancement. Remote work is available for qualified states,...Remote job- HonorHealth is seeking an experienced Utilization Review RN Specialist for a remote-capable role serving the greater Phoenix area. The position focuses... ...Responsibilities include chart reviews, collaboration with care management and physicians, and identifying documentation gaps to...Remote job
- ...Solutions, Inc. is seeking a Utilization Management Nurse to perform prospect, concurrent... ...retrospective reviews from a remote setting across Oregon,... ...or a related field, active RN licensure, and approximately 3 years of experience in case/ utilization management with...Remote job
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