Remote LPN UM Nurse: Care Management & Appeals
Integra Partners
Integra Partners is seeking an experienced LPN/LVN to conduct pre-service and post-service utilization reviews and appeals for DMEPOS within a NCQA-compliant UM program. The role collaborates with the Medical Director on benefit and medical necessity reviews.
The UM Nurse will perform reviews, approve eligible requests, refer non-qualifying cases, and handle appeals while ensuring compliance with NCQA, CMS, and state standards. Remote opportunities are available across the United States.
#J-18808-LjbffrVacancy posted 3 hours ago
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