Remote Utilization Management RN: toward CM

WPS Health Solutions seeks an Utilization Management RN to evaluate efficiency, appropriateness, and medical necessity for medical services within our Health Plan. The RN will apply clinical knowledge to review services with evidence-based criteria and authorize care as appropriate, with referrals to medical directors for questionable cases.

We offer remote work in numerous states and opportunities to cross-train in Case Management, with potential growth into a combined UM/CM role in the future.

Join us at WPS Health Solutions as our next Remote Utilization Management RN:
Growth toward CM in Hampton, VA, United States.

The advertised compensation is 75..

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.