Remote Utilization Review Nurse Job at Brighton Health Plan Solutions, Chapel Hill, NC

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  • Brighton Health Plan Solutions
  • Chapel Hill, NC

Job Description

Brighton Health Plan Solutions, LLC is seeking an Utilization Management Nurse to perform medical necessity reviews remotely. Licensed LPN with strong MS Office skills will review clinical criteria, coordinate with care partners, and document determinations in compliance with standards. Two or more years in a UM team within managed care is preferred, as is nurse experience in clinical settings; TPA experience is a plus. #J-18808-Ljbffr

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