Remote Utilization Management Nurse - Clinical Review Pro
Charlotte, Mecklenburg County, North Carolina, 28201, USA
Listed on 2026-10-20
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Nursing
Healthcare Nursing, RN Nurse, Public Health Nurse, General 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.
As a Remote Utilization Management Nurse
- Clinical Review Pro, you will play an important part at Brighton Health Plan Solutions, LLC in Chapel Hill, NC, United States.
This opening is for the Remote Utilization Management Nurse
- Clinical Review Pro role at Brighton Health Plan Solutions, LLC.
We are seeking a motivated Remote Utilization Management Nurse
- Clinical Review Pro to join Brighton Health Plan Solutions, LLC in Chapel Hill, NC, United States.
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