Remote Utilization Management Nurse - Clinical Review
Brighton Health Plan Solutions, LLC
Chapel Hill, NC
- Remote job
A healthcare administration company seeks a Utilization Management Nurse to perform medical necessity reviews while working remotely. The ideal candidate will be an active Licensed Practical Nurse (LPN) with strong proficiency in the Utilization Review process. Responsibilities include performing clinical reviews using evidence-based guidelines, communicating determinations to providers, and collaborating with healthcare partners for timely service reviews. This position requires strong organizational and time management skills in a dynamic environment. #J-18808-Ljbffr Brighton Health Plan Solutions, LLC
Vacancy posted 1 day ago
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