Remote Utilization Management Nurse (LPN/LVN) - UM & Appeals

Integra Partners

Integra Partners seeks an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals within a NCQA-compliant UM program. You will collaborate with our Medical Director to assess benefit and medical necessity criteria and handle related appeals.

The role requires licensure as LPN/LVN, at least 3 years nursing experience, and 2+ years UM experience in managed care. Remote opportunities are available.

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Vacancy posted 4 days ago

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