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.
#J-18808-LjbffrRemote Utilization Management Nurse - Clinical Review Pro in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.