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Healthcare Nursing

Remote Utilization Management Nurse – Clinical Review

Remote / Online - Candidates ideally in
Concord, Cabarrus County, North Carolina, 28025, USA
Listing for: Brighton Health Plan Solutions, LLC
Remote/Work from Home position
Listed on 2026-06-11
Job specializations:
  • Nursing
    Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 10000 - 60000 USD Yearly USD 10000.00 60000.00 YEAR
Job Description & How to Apply Below
A healthcare administration company seeks a Utilization Management Nurse to perform medical necessity reviews while working remotely. The ideal candidate will be an active Licensed Practical Nurse (LPN) with strong proficiency in the Utilization Review process. Responsibilities include performing clinical reviews using evidence-based guidelines, communicating determinations to providers, and collaborating with healthcare partners for timely service reviews. This position requires strong organizational and time management skills in a dynamic environment.
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