Description
Network Health is hiring an RN Utilization Management Coordinator to review prior authorization requests, determine medical necessity, coverage, and payment eligibility, and support utilization management, case management, auditing, and care-management programs. The role is a 1.0 FTE, 40-hour-per-week position based in the candidate’s home office in Wisconsin, with occasional travel to the Menasha corporate office and in-person training for the first 6–8 weeks. An Associate Degree in Nursing and current Wisconsin RN licensure are required; a Bachelor of Science in Nursing and experience in insurance, managed care, and utilization management are preferred.
