Remote Utilization Management RN — Review & Optimize Care

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.

Are you ready to take on the Remote Utilization Management RN — Review & Optimize Care role at WPS—A health solutions company?

We are currently recruiting a Remote Utilization Management RN — Review & Optimize Care for our team in Madison, WI, United States.

This is a genuine role to take on the Remote Utilization Management RN — Review & Optimize Care role at WPS—A health solutions company.