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Remote Utilization Management RN - Prior Authorization
Remote / Online - Candidates ideally in
Mount Pleasant, Charleston County, South Carolina, 29466, USA
Listed on 2026-07-14
Mount Pleasant, Charleston County, South Carolina, 29466, USA
Listing for:
WPS—A health solutions company
Remote/Work from Home
position Listed on 2026-07-14
Job specializations:
-
Nursing
RN Nurse, Healthcare Nursing
Job Description & How to Apply Below
WPS—A health solutions company is seeking an Utilization Management RN to evaluate medical necessity and utilization for Health Plan services. The role supports remote work in approved states and coordinates with Medical Directors to ensure appropriate care while avoiding unnecessary procedures.
The candidate should have RN licensure, 4+ years of nursing experience, 2+ years in Managed Care, and strong knowledge of medical practices and coding.
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