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Remote Utilization Management RN — Path to CM

Remote / Online - Candidates ideally in
St. Peters, Saint Peters, St. Charles County, Missouri, 63376, USA
Listing for: WPS Health Solutions
Remote/Work from Home position Listed on 2026-11-13
Job specializations:
Salary/Wage Range or Industry Benchmark: 75000 - 100000 USD Yearly USD 75000.00 100000.00 YEAR

Job Description & How to Apply Below

Position: Remote Utilization Management RN — Path to CM Growth
Location: St. Peters

WPS Health Solutions seeks an experienced Utilization Management Registered Nurse (UM RN) to evaluate efficiency, appropriateness, and medical necessity for medical services under our Health Plan. The role includes cross-training in Case Management with potential growth into a combined UM/CM position and future CM opportunities.

The candidate will collaborate with Medical Directors, Health Services teams, and other departments while reviewing prior authorization requests and ensuring alignment

We would love to welcome a new Remote Utilization Management RN — Path to CM Growth to our team in Kansas City, MO, United States.

This role offers the option to work remotely.

We aim to respond to suitable candidates as soon as possible.

Full responsibilities and requirements are described in the listing above.

Learn more about the Remote Utilization Management RN — Path to CM Growth role in the description above.

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