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Remote Utilization Management Nurse | Clinical Review Pro
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:
MagnaCare
Remote/Work from Home
position Listed on 2026-07-13
Job specializations:
-
Nursing
Healthcare Nursing
Job Description & How to Apply Below
BHPS, a remote Utilization Management provider, seeks an experienced UM Nurse (LPN) to review medical necessity and benefits according to national standards and policies.
The role requires collaboration with healthcare partners, presenting cases to the Medical Director, and timely communication of determinations to providers and members, while maintaining regulatory compliance and high-quality documentation.
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