Utilization Management RN
WPS Health•Atlanta, GA
487d•$75,000 - $100,000•Remote
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About The Position
The Utilization Management RN at WPS Health Solutions plays a crucial role in evaluating the efficiency, appropriateness, and medical necessity of healthcare services for members. This position involves reviewing evidence-based criteria and jurisdictional guidelines to make informed decisions regarding medical services, procedures, and facilities. The RN will work collaboratively within a high-performing team to ensure optimal healthcare delivery across the continuum of care, while also maintaining a focus on customer service and empathy for diverse internal and external stakeholders.
