Remote UM Nurse (LPN/LVN) - Medical Necessity
Integra Partners
Austin, TX
- Remote job
Integra Partners is seeking an LPN/LVN with managed care UM experience to perform pre-service and post-service utilization reviews and appeals for DMEPOS, collaborating with our Medical Director within an NCQA-compliant UM program. The UM Nurse is responsible for reviews, approvals or referrals, handling appeals, and ensuring compliance with NCQA, CMS, and state standards. An active LVN/LPN license and 3+ years of nursing plus 2+ years UM in a payor environment are required. #J-18808-Ljbffr Integra Partners
Vacancy posted 2 days ago
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