Remote Utilization Management Nurse (LPN/LVN) - UM & Appeals

Integra Partners is seeking an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals for DMEPOS within an NCQA-compliant UM program.

The UM Nurse will collaborate with our Medical Director to assess medical necessity, apply criteria such as InterQual and CMS guidelines, and manage pre-authorization and denial letter processes. Remote opportunities may be available across the United States.