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UM Clinical Reviewer

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Centers Plan for Healthy Living
πŸ“ Margate, United States
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Location Margate
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Posted June 17, 2026
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Commute Local Area
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Job Description

Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general caregivers with the guidance and plans they need for healthy living.

One of the fastest growing Managed Long-Term Care company in New York, Centers Plan For Healthy Living is currently accepting applications for Full Time Registered Nurse without experience.



The Utilization Management Clinical Reviewer works within a multidisciplinary team to help identify and manage members who are in need of additional care or support in their home to improve their quality of life. Utilization Management Clinical Reviewer will assess and process all authorization requests to determine medical necessity to ensure all care services, member education, and preventative interventions are maintained.


Qualifications:


+ Active RN license, entry level RN welcome

+ Excellent ...

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πŸ“ Location Details

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City
Margate
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Country
United States
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Commute
Local Area

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