Remote Utilization Management Nurse - Clinical Review Pro
Kannapolis, Cabarrus County, North Carolina, 28081, USA
Listed on 2026-10-02
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Nursing
Healthcare Nursing
Brighton Health Plan Solutions, LLC is seeking an experienced Utilization Management Nurse (LPN) to perform medical necessity and benefit reviews remotely in North Carolina. You will use evidence-based guidelines and internal criteria to determine coverage and communicate decisions to providers and members.
Qualified candidates hold an active LPN license, have 2+ years in UM within managed care, and are proficient with Microsoft Office.
Step into the Remote Utilization Management Nurse - Clinical Review Pro role at Brighton Health Plan Solutions, LLC in Chapel Hill, NC, United States and grow with us.
Please review the full job details above before applying.
If your experience matches this role, we encourage you to apply.
All applications are reviewed carefully by our team.
This is a Full Time role.
The position is based in Chapel Hill, NC, United States.
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