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-LjbffrRemote Utilization Management Nurse: Medical Review in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.