WPS Health Solutions seeks an experienced Utilization Management Registered Nurse (UM RN) to evaluate efficiency, appropriateness, and medical necessity for medical services under our Health Plan. The role includes cross-training in Case Management with potential growth into a combined UM/CM position and future CM opportunities.
The candidate will collaborate with Medical Directors, Health Services teams, and other departments while reviewing prior authorization requests and ensuring alignment
#J-18808-LjbffrRemote Utilization Management RN Path to CM Growth in workfromhome at Unknown Company
- Typical pay
- $86,320–$130,102
For context, most registered nurses earn between $86,320–$130,102 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and onsite.