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.
#J-18808-LjbffrVacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management Nurse (LPN/LVN) - Appeals in United States vacancy
- ...Partners seeks an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals within a NCQA-compliant UM... ...as LPN/LVN, at least 3 years nursing experience, and 2+ years UM experience in managed care. Remote opportunities are available....Remote work
- ...seeking an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals for DMEPOS within an... ...program. The UM Nurse will collaborate with... ...CMS guidelines, and manage pre-authorization and... ...denial letter processes. Remote opportunities may be...Remote work
- ...Integra Partners Holdings, Inc. is seeking a full-time remote LPN Utilization Management Nurse to perform pre-service and post-service utilization reviews... ...authorizations, communicate outcomes, and support appeals. It requires strong UM experience in managed care and familiarity...Remote workFull time
- ...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...Remote work
- ...Integra Partners seeks a licensed practical nurse (LPN/LVN) with managed care experience to conduct pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director to review benefits and medical necessity within...Remote work
- ...Integra Partners is seeking a Licensed Practical Nurse to perform pre-service and post-service utilization management reviews and appeals within a NCQA-compliant UM program. You... ...environments. The role requires an active LPN/LVN license, at least 3 years of nursing in...Remote work
- ...Partners seeks a licensed LPN/LVN with managed care UM experience to... ...service and post-service utilization reviews and appeals. You will collaborate with... ...The role requires active nursing licensure, 3+ years of nursing... ..., and 2+ years in UM. Remote opportunities are available...Remote work
- ...Integra Partners is seeking an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals within a NCQA-compliant UM program. You will collaborate with our Medical Director to assess benefits and medical necessity for DMEPOS under federal...Remote work
- ...Integra Partners is seeking a Licensed Practical Nurse (LPN/LVN) with experience in managed care payor environments to perform pre-service and post-service utilization reviews and appeals for DMEPOS. The role collaborates with our Medical Director on benefit and medical...Remote work
- ...Integra Partners seeks an experienced LPN/LVN with strong UM background to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with the Medical Director on benefit and medical necessity reviews within an NCQA-compliant...Remote work
- ...Integra Partners is seeking an LPN/LVN with experience in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director to ensure NCQA-compliant UM program operations...Remote work
- ...Integra Partners is seeking an LPN/LVN with managed care experience to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical... .... The role supports a nationwide remote workforce with competitive compensation...Remote work
- ...seeks an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals within a NCQA-... ...quality in-home care management across a national network... ...licensure, 3+ years nursing in acute/outpatient... ...experience in managed care. Remote opportunities are...Remote work
- ...Integra Partners seeks an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate... ...LPN/LVN license, 3+ years nursing experience, and 2+ years UM experience in a managed care setting, with familiarity in...Remote work
- ...Integra Partners seeks an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals for DMEPOS in a managed care environment. You will collaborate... ...LPN/LVN licensure, at least 3 years of nursing in acute or outpatient care, and 2+ years...Remote work
- ...Integra Partners is seeking an LPN/LVN with managed care UM experience to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our... ...active LVN license, at least 3 years nursing experience, and 2 years UM experience...Remote work
- ...Partners is seeking a Licensed Practical Nurse for utilization management reviews. The role involves pre-... ...Director. The position supports appeals processing and ensures compliance with... ...Qualified candidates have an active LVN/LPN license, 3+ years of nursing in...Remote work
- ...Integra is looking for a LPN/LVN experienced in the managed care payor environment... ...and post-service utilization reviews and appeals for DMEPOS. This individual... ...UM program. The UM Nurse’s responsibilities include... ...wellness programs ~ Remote Opportunities Founded...Remote workTemporary workLocal area
- ...To support a managed care environment, the full-time LPN Utilization Management Nurse will perform pre-service and post... ...reviews and appeals for DMEPOS, collaborating... ...Medical Director in a remote setting. Key responsibilities... ...Vocational Nurse (LVN) or Licensed Practical...Remote workFull time
- ...licensed practical/vocational nurse to perform pre-service and post-service utilization management reviews, applying federal/state... ...Medical Director, with processing appeals as needed. The position... ...and state standards, and offers remote opportunities along with competitive...Remote work
- ...is seeking an experienced LPN/LVN to conduct pre-service and post-service utilization reviews and appeals in a managed care environment. You will... ...active licensure, 3+ years of nursing experience, and 2+ years UM... ...is preferred, and we offer remote work options and a...Remote work
- ...Integra Partners seeks an experienced LPN/LVN to conduct pre-service and post-service utilization reviews and appeals within a NCQA-compliant UM program, collaborating with... ...approvals, referrals, and handling appeals. Remote opportunities available and strong team...Remote work
- ...Integra Partners seeks an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals in a NCQA-compliant UM program.... ...LPN/LVN license, 3+ years nursing in acute/outpatient care, and 2+ years UM in managed care. Prior experience with InterQual...Remote work
- ...Integra Partners is seeking an LPN/LVN with UM experience to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with the Medical... ...the Medical Director. The role supports a remote workforce across the United States and offers...Remote work
- ...Integra Partners seeks an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals for DMEPOS. The role collaborates with the Medical... ...appeals while ensuring NCQA and CMS compliance. Remote opportunities are available nationwide in the...Remote work
- ...Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. You will assist patients through the continuum of care in collaboration with the patient’s PCP, facility case manager, discharge planner and contracted providers to ensure...Remote work
- ...Integra Partners is seeking an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals in a managed care UM environment. The role collaborates... ...NCQA-compliant UM standards. The UM Nurse will review pre/post service requests against...Remote work
- ...Integra Partners is seeking an LPN/LVN with experience in the managed care UM environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director to conduct benefit and medical necessity reviews...Remote work
- ...Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. As an inpatient review nurse, you will assist patients... ...Monday - Friday, 8:00 AM - 5:00 PM Pacific Time. Requires LVN or RN license (CA or willing to obtain in other states...Remote workMonday to Friday
- ...Integra Partners is seeking an LPN/LVN with managed care UM experience to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director to conduct benefit and medical necessity reviews within an NCQA-compliant...Remote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Management Nurse (LPN/LVN) - Appeals. Be the first to apply!
Related searches

