Remote UM Nurse (LPN) - Care Management & Appeals
Integra Partners
Integra Partners in Michigan is seeking an LPN/LVN with managed care UM experience to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director to ensure medical necessity reviews within an NCQA-compliant UM program. The UM Nurse will review criteria, approve eligible requests, refer non-qualifying cases, and handle administrative and clinical appeals while maintaining NCQA, CMS, and state standards. #J-18808-Ljbffr
Vacancy posted 1 day ago
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