Utilization Management Nurse Reviewer (Onsite)

Concentrix is seeking a Utilization Management (UM) PHRN to review, process, and resolve UM cases with a focus on timely and clinically sound UM decisions. The role upholds member rights and health plan obligations under applicable regulations and supports case documentation and program quality.

The position requires a BSN with an active nursing license and at least 6 months in clinical process outsourcing and utilization management, plus bedside nursing experience.