WPS Health Solutions seeks an Utilization Management RN to evaluate medical necessity and appropriateness of services for our health plan. This role uses clinical knowledge to review requests, authorize care when appropriate, and refer cases to medical directors to avoid unnecessary procedures and extended hospital stays.
We support remote work in multiple states and offer opportunities to grow into a combined UM/CM role.
#J-18808-LjbffrRemote Utilization Management RN — Path to UM/CM in newark at Unknown Company
- Typical pay
- $84,500–$129,531
For context, most registered nurses earn between $84,500–$129,531 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 able to be worked remotely.