Remote Utilization Management RN: Grow into CM
WPS—A health solutions company
- Remote job
WPS Health Solutions seeks a Utilization Management RN to evaluate medical necessity and authorize appropriate services for our Health Plan. 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 states, including Indiana. Wisconsin RN licensure is required, with further CM/UM responsibilities and collaboration with Medical Directors to ensure quality care and cost effectiveness. #J-18808-Ljbffr WPS—A health solutions company
$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/CM position with potential future advancement. Remote work is available for qualified...Remote jobCms- ...Solutions in Minnesota is seeking a Utilization Management RN to evaluate efficiency, appropriateness... ...appropriate. This position offers remote work options with potential to cross-train in Case Management and grow into a combined UM/CM role or CM in the future. Start date...Remote jobCms
$75k - $100k
...Solutions in Madison, WI seeks an Utilization Management RN to evaluate medical necessity and authorize... ...directors and may cross-train into Case Management, with potential to grow into a combined UM/CM position. The position offers remote/hybrid options across approved...Remote jobCms- WPS, a health solutions company, seeks an Utilization Management RN to evaluate medical necessity and appropriateness of services for... ...There's potential to cross-train in Case Management and grow into a combined UM/CM position. Start Date: 01/10/2027. #J-18808-Ljbffr WPS...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
- ..., a health solutions company, seeks an Utilization Management RN to evaluate medical necessity and authorize... ...in Case Management with potential to grow into a combined UM/CM position or CM in the future. Start date 01/10/2027; remote-friendly with approved states,...Remote jobCms
- The Utilization Management RN position at WPS Health Solutions evaluates medical necessity and appropriateness of services... ...cross-training toward Case Management to grow into a combined UM/CM position. We offer a remote-friendly work arrangement with multiple states...Remote jobCms
$75k - $100k
...Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and... ...cross-training in Case Management (CM), with the potential for the role to grow into a combined UM/CM position or... ...Work Location We are open to remote work in the following approved...Remote workCmsFor contractorsWork at officeLocal areaImmediate start- WPS is seeking an Utilization Management RN to evaluate medical necessity for services and authorize... ...train in Case Management with growth into UM/CM roles. The position offers collaboration... ...documentation of case summaries, and remote work options in approved states. #J-...Remote jobCms
$75k - $100k
...health solutions company is seeking an experienced Utilization Management RN to evaluate the necessity and appropriateness... ...with medical directors. The role offers remote work with quotas and potential growth into CM. Start date is 01/10/2027 and salary ranges from...Remote jobCms- WPS, a health solutions company, is hiring an Utilization Management RN to evaluate medical necessity and appropriateness... ...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 jobCms
$75k - $100k
WPS Health Solutions is seeking an Utilization Management RN to evaluate medical necessity and authorize services... ...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 a...Remote jobCms$75k - $100k
WPS Health Solutions is seeking an Utilization Management RN to evaluate medical necessity and authorize services in coordination with medical... ...cross-training in Case Management and for progression into a combined UM/CM position in the future, with a start date of 01/10/2027...Remote jobCms$75k - $100k
WPS Health Solutions is seeking a Utilization Management Registered Nurse to evaluate efficiency, appropriateness, and... ...train in Case Management with potential growth into a combined UM/CM position. The position offers remote work options in multiple states, including...Remote jobCms- ...health solutions company is seeking an Utilization Management RN who evaluates efficiency, appropriateness... ...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 in managed...Remote jobCms
- WPS Health Solutions seeks an Utilization Management RN to evaluate efficiency, appropriateness,... ...directors for questionable cases. We offer remote work in numerous states and... ...Management, with potential growth into a combined UM/CM role in the future. #J-18808-Ljbffr...Remote jobCms
$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 01/10...Remote jobCms- WPS Health Solutions seeks an experienced Utilization Management Registered Nurse (UM RN) to evaluate efficiency, appropriateness, and medical necessity... ...training in Case Management with potential growth into a combined UM/CM position and future CM opportunities. The...Remote jobCms
- WPS, a health solutions company, seeks an Utilization Management RN to evaluate medical necessity and service appropriateness for our Health... ...cross-train in Case Management with potential growth into CM roles. Remote work is available in Colorado and other states; the...Remote jobCms
$75k - $100k
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
WPS, a health solutions company, seeks an Utilization Management RN to evaluate medical necessity and... ...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 jobCms$75k - $100k
WPS Health Solutions is seeking a Utilization Management RN to evaluate medical necessity and approve... ...includes 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...Remote jobCms- 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...Remote jobCms
- WPS, a health solutions company, seeks an Utilization Management RN to assess efficiency, medical necessity, and authorize services... ...-training in Case Management and potential growth into a combined UM/CM position. Remote-friendly with growth opportunities, the role...Remote jobCms
- ...solutions company, is seeking an Utilization Management RN to evaluate medical necessity and... ...directors and potential cross-training into Case Management, with growth toward a combined UM/CM position in the future. The position offers remote work with approved states and a...Remote jobCms
- ...Description Join our team as a remote (Oklahoma City) full time days and every other weekend RN Case Manager -Utilization Review at INTEGRIS Health, Oklahoma City, OK. Get to... ...support and more. Take the first step toward growing your career by joining us....Remote workCmsFull timeWork at officeWeekend work
$91.25k - $120.91k
...experience! Under the general direction of the Utilization Management Manager, the Utilization Management... ...Translate medical terminology into lay language and grading the reading level... ...acute care facility utilizing an active RN license is required. Experience in an...Remote jobCmsTemporary workFlexible hours$72.8k - $130k
...to start Caring. Connecting. Growing together. If the following job... ...an occasional opportunity for remote work based on business needs. As a Sr Utilization Management Nurse in the Springfield MA Regional... ...~ Must be a Registered Nurse (RN) with a current, active,...Remote workCmsMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal area$100k - $130k
...those who need it most. The Utilization Management (UM) team plays a vital role... ...CMS guidelines. As the Lead RN, Utilization Management, you... ...and turn performance trends into practical solutions. You put... .... Additionally, we embrace a remote-first culture that supports collaboration...Remote workCmsWork experience placementWork at officeFlexible hours- ...and monitoring the utilization of physical health... ...closely with Case Management to address member needs... ...engage members into care. Assists Medical... ...degree and active NYS RN license required.... ...areas (i.e. UM and CM). Incumbent is... ...The opportunity for remote work may be possible...Remote workCmsContract workWork at office
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