Nurse Consultant - Utilization Review & Compliance

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Broughton Hospital, part of the North Carolina Department of Health and Human Services, seeks a detail‑oriented Nurse Consultant for the Utilization Review (UR) Department. You will perform initial, continued stay, and retrospective reviews and prepare appeal requests to ensure medical necessity and proper reimbursement. You will collaborate with Medicare, Medicaid, and commercial insurers, support documentation quality, patient acuity, and level‑of‑care standards. #J-18808-Ljbffr

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Vacancy posted 1 day ago

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