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Clinical Utilization Review & Appeals Specialist

Job in Greenville, Pitt County, North Carolina, 27834, USA
Listing for: ECU Health
Full Time position
Listed on 2026-03-01
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below
A prominent healthcare facility in North Carolina seeks a Utilization Review Specialist to ensure compliance with CMS and perform Utilization Review. Responsibilities include assessing management needs for patients, conducting admission reviews, and addressing medical necessity issues. Candidates should have an Associate's Degree in Nursing, NC RN licensure, and significant experience in relevant fields. This full-time, onsite position is vital for providing quality care to the community.
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