Remote Utilization Review Nurse (LPN/LVN) - UM & Appeals
Santa Barbara Cottage Hospital
Integra Partners is seeking a licensed Practical Nurse (LPN/LVN) experienced in managed care UM to perform pre-service and post-service utilization reviews and appeals for DMEPOS, working with our Medical Director in a NCQA-compliant UM program. You will review benefit and medical necessity criteria, coordinate with clinical and non-clinical staff, and communicate outcomes both verbally and in writing. A current LPN/LVN license, at least 3 years of nursing in acute or outpatient settings, and 2+ #J-18808-Ljbffr
Vacancy posted 1 day ago
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