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Remote Utilization Management RN

Remote / Online - Candidates ideally in
Omaha, Douglas County, Nebraska, 68197, USA
Listing for: WPS—A health solutions company
Remote/Work from Home position
Listed on 2026-07-15
Job specializations:
  • Nursing
    RN Nurse
Salary/Wage Range or Industry Benchmark: 75000 - 100000 USD Yearly USD 75000.00 100000.00 YEAR
Job Description & How to Apply Below

WPS—A health solutions company is seeking an experienced Utilization Management RN to evaluate medical necessity and approve appropriate services for our Health Plan. You will work remotely within approved states and collaborate with Medical Directors to ensure quality care while controlling costs.

Qualified candidates have 4+ years RN experience, 2+ years in Managed Care, and strong knowledge of medical policies and coding.

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