WPS Health Solutions seeks an Utilization Management RN to evaluate efficiency, appropriateness, and medical necessity for medical services within our Health Plan. The RN will apply clinical knowledge to review services with evidence-based criteria and authorize care as appropriate, with referrals to medical directors for questionable cases.
We offer remote work in numerous states and opportunities to cross-train in Case Management, with potential growth into a combined UM/CM role in the future.
#J-18808-LjbffrRemote Utilization Management RN: Growth toward CM in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.