WPS is seeking an Utilization Management RN to evaluate medical necessity for services and authorize appropriate care. You will reference evidence-based criteria and may refer questionable cases to medical directors to prevent unnecessary procedures.
There is potential to cross-train in Case Management with growth into UM/CM roles. The position offers collaboration with Medical Directors and Health Services, documentation of case summaries, and remote work options in approved states.
#J-18808-LjbffrRemote Utilization Management RN — Review & Optimize Care in madison 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 able to be worked remotely.