Brighton Health Plan Solutions seeks an experienced Utilization Management Nurse (LPN) to perform medical necessity and benefit reviews remotely. You will work within UM processes, coordinate with partners, and ensure timely, compliant documentation and communications with providers and members.
Prerequisites include an active LPN license, proficiency in Microsoft Office, and 2+ years in UM within managed care. Prior experience in various reviews and knowledge of URAC/NCQA are a plus.
#J-18808-Ljbffr