Remote UM Nurse LPN - Utilization Review & Appeals

Integra Partners

Integra Partners is seeking an experienced LPN/LVN to conduct pre-service and post-service utilization reviews and appeals in a managed care environment. You will collaborate with our Medical Director to evaluate medical necessity and benefit coverage within an NCQA-compliant UM program.

The role requires active licensure, 3+ years of nursing experience, and 2+ years UM experience. Knowledge of InterQual and CMS guidelines is preferred, and we offer remote work options and a comprehensive

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Vacancy posted 2 days ago

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