UM Nurse LPN - Remote Utilization & Appeals Expert

Integra Partners

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 will collaborate with the Medical Director to assess medical necessity, benefits, and policy criteria for DMEPOS services across payor environments. The role requires an active LPN/LVN license, at least 3 years of nursing in acute or outpatient settings, and 2+ years in managed care UM. #J-18808-Ljbffr

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Vacancy posted 10 hours ago

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