Unknown Company

Remote RN: Clinical Utilization Review Specialist

houston, tx • Posted 1 weeks ago
Remote Full Time Bio & Pharmacology & Health

WNS, part of Capgemini, is seeking a remote RN/LPN for utilization review in the United States. The role involves assessing medical necessity, resolving escalations, and maintaining HIPAA-compliant documentation with HealthHelp policies.

Requires active nursing license and at least 1 year in utilization review, plus proficiency with Microsoft Office and healthcare systems. Starting training is 08/03/2026 with a 6-week schedule; regular hours after training run CST.

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