Remote UM Nurse (LPN/LVN) - Utilization Review & Appeals
Integra Partners
Integra Partners is seeking an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals for DMEPOS within a NCQA-compliant UM program. You will collaborate with the Medical Director to assess medical necessity and benefit coverage.
The candidate must hold an active LPN/LVN license, with at least 3 years of nursing experience and 2 years in managed care UM, and have knowledge of InterQual and CMS criteria.
#J-18808-LjbffrVacancy posted 1 day ago
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