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Remote Utilization Management Nurse
Remote / Online - Candidates ideally in
New York, New York County, New York, 10261, USA
Listed on 2026-07-14
New York, New York County, New York, 10261, USA
Listing for:
Santa Barbara Cottage Hospital
Remote/Work from Home
position Listed on 2026-07-14
Job specializations:
-
Nursing
Healthcare Nursing
Job Description & How to Apply Below
Santa Barbara Cottage Hospital is seeking a licensed practical nurse to join BHPS Utilization Management as a remote reviewer of medical necessity and benefit determinations. You will assess cases using clinical guidelines and coordinate with providers and departments to support timely, compliant decisions.
The role requires reviewing both inpatient and outpatient services, familiarity with URAC and NCQA guidelines, and the ability to work independently in a fast-paced managed care environment.
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