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.
#J-18808-LjbffrRemote Utilization Management Nurse – Clinical Reviews in chapel hill at Unknown Company
This position is listed as full time and able to be worked remotely.