Remote Utilization Management Nurse - Clinical Review Pro
Greenville, Pitt County, North Carolina, 27833, USA
Listed on 2026-11-01
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Nursing
RN Nurse, Healthcare Nursing, Nurse Practitioner, Public Health Nurse
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.
We invite applications for the Remote Utilization Management Nurse
- Clinical Review Pro position located in Chapel Hill, NC, United States.
The following role is for a Remote Utilization Management Nurse
- Clinical Review Pro with Brighton Health Plan Solutions, LLC.
Our organisation is growing, and we are hiring a Remote Utilization Management Nurse
- Clinical Review Pro in Chapel Hill, NC, United States.
This role is for the Remote Utilization Management Nurse
- Clinical Review Pro role at Brighton Health Plan Solutions, LLC.
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