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Remote Utilization Review Nurse
Remote / Online - Candidates ideally in
Chapel Hill, Orange County, North Carolina, 27517, USA
Listed on 2026-07-13
Chapel Hill, Orange County, North Carolina, 27517, USA
Listing for:
Brighton Health Plan Solutions, LLC
Remote/Work from Home
position Listed on 2026-07-13
Job specializations:
-
Nursing
Healthcare Nursing, Public Health Nurse, RN Nurse
Job Description & How to Apply Below
Brighton Health Plan Solutions, LLC is seeking an Utilization Management Nurse to perform medical necessity reviews remotely. Licensed LPN with strong MS Office skills will review clinical criteria, coordinate with care partners, and document determinations in compliance with standards.
Two or more years in a UM team within managed care is preferred, as is nurse experience in clinical settings; TPA experience is a plus.
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