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Remote RN - Physical Health Utilization Specialist

Remote / Online - Candidates ideally in
Morrisville, Wake County, North Carolina, 27560, USA
Listing for: Alliance Health in
Remote/Work from Home position
Listed on 2026-02-28
Job specializations:
  • Healthcare
    Healthcare Nursing, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 80000 - 100000 USD Yearly USD 80000.00 100000.00 YEAR
Job Description & How to Apply Below
A healthcare organization is seeking a UM Clinical Specialist RN - Physical Health. This remote position primarily covers medical necessity assessments, ensuring compliance with clinical guidelines. The ideal candidate should hold a Bachelor's degree in Nursing and possess a valid North Carolina nursing license. Responsibilities include conducting reviews of service requests, notifying members of determinations, and ensuring quality care. An excellent benefits package is offered, including flexible work schedules and retirement plans.
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