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Remote Utilization Management Nurse | Clinical Review Pro

MagnaCare

Chapel Hill, NC
  • Remote job

BHPS, a remote Utilization Management provider, seeks an experienced UM Nurse (LPN) to review medical necessity and benefits according to national standards and policies. The role requires collaboration with healthcare partners, presenting cases to the Medical Director, and timely communication of determinations to providers and members, while maintaining regulatory compliance and high-quality documentation. #J-18808-Ljbffr MagnaCare

Vacancy posted 4 days ago
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