Remote Utilization Management Nurse (LPN/LVN) UM & Appeals
Integra Partners
Brooklyn, NY
- Remote job
Integra Partners is seeking a licensed practical nurse (LPN/LVN) experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. The role collaborates with the Medical Director on benefit and medical necessity decisions within an NCQA-compliant UM program. The UM Nurse will conduct reviews, approve eligible requests, and refer non-qualifying cases. #J-18808-Ljbffr Integra Partners
Vacancy posted 2 days ago
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