• Director Utilization Management

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    …organization. + Partner with Clinical Program leaders to execute on programmatic audit results and ensure existing and new regulatory initiatives. + Review multiple ... day operations and oversight of the UM program. + Lead , develop and manage processes to respond, solution, and...Qualifications + Active and unrestricted license as a Registered Nurse (RN). + Bachelor's degree in nursing, (or equivalent… more
    Brighton Health Plan Solutions, LLC (07/18/25)
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  • Chief Nursing Officer

    Prime Healthcare (Ontario, CA)
    …Assistant RAC Coordinator in consultation with HIM Director and PHS Revenue Audit team.10. Establishes and implements a mechanism for ongoing communication with ... duties as assigned or required. Qualifications 1. Active and current professional registered nurse licensed in the state in which they practice is required. 2. An… more
    Prime Healthcare (06/22/25)
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