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Remote Utilization Management Nurse (LPN/LVN) - Appeals

Integra Partners

Integra Partners seeks an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals within a NCQA-compliant UM program. The role collaborates with the Medical Director to assess benefit and medical necessity criteria and ensure compliance across DMEPOS.

The ideal candidate holds an active LPN/LVN license and has at least 3 years of nursing experience, with 2 years in UM within managed care. Colorado-based remote-friendly position with comprehensive benefits.

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Vacancy posted 3 days ago
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