About this role
Utilization Management Nurse at Brighton Health Plan Solutions, LLC. Location: Chapel Hill, North Carolina, United States. Role: performing reviews, communicating determinations, triaging cases Requirements: Active RN licensure required, 2+ years UM team experience in managed care, BLS not explicitly stated; proficiency with Microsoft Office, MCG and CMS criteria, utilization review and benefit interpretation skills. Category: Healthcare Services - Nursing Seniority: Entry Level Tools: Microsoft Outlook, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, MCG, CMS Certifications: rn Commitment: Full Time Workplace: Remote Languages: English