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Employee Jobs at Brighton Health Plan Solution in Durham, North Carolina
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Utilization Management Nurse, Concurrent Review
Healthcare · Brighton Health Plan Solutions · Chapel Hill, NCAbout The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs daily medical necessity reviews. This position reports to the Director, Clinical Programs. This job description is not designed...4 weeks ago on The ResumatorTools- XTools
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Utilization Management Nurse, Prior Authorization
Healthcare · Brighton Health Plan Solutions · Chapel Hill, NCAbout The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse - Prior Authorization performs medical necessity reviews on prior authorization requests in accordance with national standards, contract...4 weeks ago on The ResumatorTools- XTools
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Utilization Review Nurse, Quality & Appeals
Healthcare · Brighton Health Plan Solutions · Chapel Hill, NCAbout The Role BHPS provides Utilization Management services to its clients. The Utilization Review Appeals Nurse performs daily appeal reviews and clinical quality oversite. This position reports to the Clinical Program Manager. This job descri...4 weeks ago on The ResumatorTools- XTools
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