Remote Utilization Management Nurse – Clinical Reviews
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Nursing
RN Nurse, Nurse Practitioner, Healthcare Nursing, Public Health Nurse
Job Description & How to Apply Below
Brighton Health Plan Solutions is seeking an experienced Utilization Management Nurse to perform medical necessity and benefit reviews for clients while working remotely in a fast-paced environment. The role requires current LPN licensure and strong knowledge of URAC and NCQA standards.
Responsibilities include conducting reviews with evidenced-based guidelines, coordinating with healthcare partners, and providing timely determinations to providers and members.
This Full Time opening is for the Remote Utilization Management Nurse – Clinical Reviews role at Brighton Health Plan Solutions.
Our organisation is growing, and we are hiring a Remote Utilization Management Nurse – Clinical Reviews in Chapel Hill, NC, United States.
This Full Time position is for the Remote Utilization Management Nurse – Clinical Reviews role at Brighton Health Plan Solutions.
We are seeking a motivated Remote Utilization Management Nurse – Clinical Reviews to join Brighton Health Plan Solutions in Chapel Hill, NC, United States.
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