Supervisor of Health Services

Health Services Supervisor – Oversees the Health Services Utilization and Case Management nursing teams, managing inventory, supporting staff mentoring and training, and driving workflow efficiencies. Works closely with the Health Services Manager and serves as a key daily resource for the nursing teams.

$95,000 – $115,000 (base pay may vary within range based on experience)

Open to remote work in Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. Employees within 45 miles of WPS Headquarters in Madison, WI must work onsite 2 days a week.

• Ensure utilization management reviews are completed per department standards.
• Coach and mentor nursing staff conducting medical necessity reviews, prior authorizations, and appeals.
• Oversee case management activities to ensure timely member interventions and maximize health outcomes.
• Collaborate with physicians, providers, and internal departments to coordinate care for complex cases.
• Monitor team performance, productivity, quality of care, and compliance with metrics and accreditation standards (e.g., URAC, NCQA).
• Provide training and professional development opportunities for nursing staff.
• Serve as a clinical resource for staff, handling escalated provider and member inquiries.
• Conduct staff quality audits and support development of clinical guidelines and utilization review protocols.
• Participate in quality improvement initiatives and contribute to department goals and performance targets.
• Assist with system testing, configuration, training, and implementation of new systems or upgrades.

• Registered Nurse (RN) with current licensure in Wisconsin or Compact License.
• Active RN license in practice state in good standing.
• Associate’s Degree in Nursing.
• 5+ years of clinical experience in a healthcare setting.
• Knowledge of medical/clinical review processes.
• Strong analytical, problem‑solving, and organizational skills; ability to manage multiple cases and meet deadlines.
• Excellent reading comprehension, written and verbal communication skills.
• Proficient in Microsoft Office and experience with electronic health records.

• 1+ year supervisory or leadership experience.
• Bachelor’s degree in Nursing (BSN).
• Certified Managed Care Nurse (CMCN).
• Background in health insurance (TPA, POS, PPO, Medicare Supplement).

• High‑speed cable or fiber internet; minimum 10 Mbps downstream and 1 Mbps upstream.
• Verify connectivity via
• See Remote Worker FAQs for additional information.

• Remote and hybrid work options.
• Performance bonus and/or merit increase opportunities.
• 401(k) with 100% match for first 3% of salary and 50% match for next 2% (100% vested immediately).
• Competitive paid time off.
• Health, dental, and telehealth services start Day 1.