Destava

UM Clinical Specialist RN-Physical Health (Full Time, Remote, North Carolina Based)

ALL1034ABHC is hiring for UM Clinical Specialist RN-Physical Health (Full Time, Remote, North Carolina Based) in Morrisville, NC. Mid level. First seen October 14, 2026; open as of November 12, 2026. Jobs taken straight from company career pages — no aggregator in between.

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Company
ALL1034ABHC
Where
Morrisville, NC
Level
Mid
First seen
October 14, 2026
Listed via
UKG

What the posting says

The Utilization Management (UM) Clinical Specialist RN for physical health (PH) independently assesses the medical necessity of inpatient admissions, outpatient services, surgical and diagnostic procedures, and out of network services, monitors consumer treatment through ongoing and continuous review to ensure that services are delivered based on consumer need and established clinical guidelines, and identifies and follows-up on clinical cases of concern and high-risk/special needs consumers to ensure enrollees are linked to appropriate treatment resources. The UM Clinical Specialist RN - PH…

Read more and apply on ALL1034ABHC's site

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