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Remote Utilization Management RN — Path to UM​/CM

Remote / Online - Candidates ideally in
Newark, Essex County, New Jersey, 07175, 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

WPS Health Solutions seeks an Utilization Management RN to evaluate medical necessity and appropriateness of services for our health plan. This role uses clinical knowledge to review requests, authorize care when appropriate, and refer cases to medical directors to avoid unnecessary procedures and extended hospital stays.

We support remote work in multiple states and offer opportunities to grow into a combined UM/CM role.

This posting is for the Remote Utilization Management RN — Path to UM/CM role at WPS Health Solutions, based in Newark, NJ, United States.

This role, Remote Utilization Management RN — Path to UM/CM at WPS Health Solutions, could be your next career step.

Are you ready to take on the Remote Utilization Management RN — Path to UM/CM role at WPS Health Solutions?

We would love to welcome a new Remote Utilization Management RN — Path to UM/CM to our team in Newark, NJ, United States.

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