Remote UM Nurse (LPN/LVN) — DMEPOS Appeals
Integra Partners
- Remote job
Integra Partners is seeking an experienced LPN/LVN 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 programs and benefit determinations. The role requires 3+ years nursing and 2+ years UM experience in managed care. Strong communication and documentation skills are essential in a dynamic team environment. #J-18808-Ljbffr Integra Partners
- ...Partners is seeking a licensed practical nurse (LPN/LVN) experienced in the managed care payor... ...post-service utilization reviews and appeals for DMEPOS. The role collaborates with the... ...necessity decisions within an NCQA-compliant UM program. The UM Nurse will conduct...Remote job
- Integra is looking for a LPN/LVN experienced in the managed care payor environment... ...-service utilization reviews and appeals for DMEPOS. This role collaborates with our Medical... ...reviews within an NCQA-compliant UM program. The UM Nurse’s responsibilities include pre-service...Remote job
- ...Partners seeks an experienced LPN/LVN to perform pre-service and... ...utilization reviews and appeals within a NCQA-compliant UM program. You will... ...LPN/LVN, at least 3 years nursing experience, and 2+ years UM... ...experience in managed care. Remote opportunities are available...Remote job
- ...seeking a Licensed Practical Nurse for utilization management reviews... ...pre-service and post-service UM authorization, determining... ...Director. The position supports appeals processing and ensures compliance... ...candidates have an active LVN/LPN license, 3+ years of nursing in...Remote job
- Integra Partners seeks an LPN/LVN to perform pre-service and post-service utilization reviews and appeals for DMEPOS within a managed care UM program. Collaborate with the Medical Director... ...maintaining NCQA and CMS standards. Remote opportunities available. #J-18808-Ljbffr...Remote job
- 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, collaborating with our Medical Director... ...NCQA-compliant UM program. The UM Nurse is responsible for reviews, approvals...Remote job
$60k
Integra Partners is seeking a LPN/LVN with UM experience to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This role collaborates with our Medical Director... ...is $60,000 per year. Minimum 3 years nursing and 2 years UM in managed care are...Remote job- Integra Partners is seeking an LPN/LVN with experience in the managed care payor environment... ...and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director to ensure NCQA-compliant UM program operations. The role requires...Remote job
$60k
...Integra is looking for a LPN/LVN experienced in the... ...utilization reviews and appeals for DMEPOS. This individual will... ...within an NCQA-compliant UM program. Salary: $6... ..., Licensed Vocational Nurse, or Licensed Practical... ...opportunities Remote Opportunities We are...Remote workTemporary workLocal area$53 per hour
...Job Description Job Description REMOTE RN OPPORTUNITY – GRIEVANCE & APPEALS / UTILIZATION REVIEW $53/hour | 10... ...We're hiring experienced Registered Nurses to join a leading healthcare organization... ...NY RN license Direct outpatient UM experience. Strong outpatient...Remote jobLong term contractWork from homeMonday to FridayShift workWeekday work- ...is seeking an experienced LPN/LVN to perform pre-service and... ...service utilization reviews and appeals within a NCQA-compliant UM program. The role... ...and medical necessity for DMEPOS. The position offers competitive... ...with benefits, remote opportunities across multiple...Remote job
- ...Partners seeks an experienced LPN/LVN to perform pre-service and post-service UM reviews and appeals within a NCQA-compliant UM program... .... The role requires active nursing licensure, 3+ years in acute/... ...InterQual and CMS guidelines. Remote opportunities are available....Remote job
- Integra Partners seeks a licensed LVN/LPN with managed care UM experience to perform pre-service and post-service utilization reviews and appeals for DMEPOS, collaborating with the Medical Director within an NCQA-compliant UM program. Responsibilities include evaluating...Remote job
- ...United States is seeking a licensed nurse to perform pre-service and post-service UM authorization reviews, applying... ...cases to Medical Director, handle appeals, and help ensure compliance with NCQA... ...standards while benefiting from remote work options. #J-18808-Ljbffr Integra...Remote job
$45 per hour
...Description Job Description Utilization Management Nurse Coordinator (RN or LVN) needed for a temp 6+ month, remote contract opportunity with Yoh’s managed care... ...healthcare in a fully remote managed care setting. The UM RN Nurse Coordinator reviews outpatient...Remote workContract workTemporary workMonday to FridayWeekend work- ...Description The Telehealth Nursing Department has an exciting opportunity... ...a Licensed Practical Nurse (LPN) to work Hybrid located in... ...other departments. Competent in remote patient monitoring and using critical... ...Visit welcome.miami.edu/about-um to learn more about our points...Remote workPart timeWorldwide
$66.58k - $142.58k
.... Position Summary CVS Aetna is seeking a dedicated Appeals Nurse Consultant to join our remote team. In this role, you will play a critical role in ensuring... ...support as required. This position may support UM (includes expedited), MPO, Coding, or Behavioral Health...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayShift work- ...Find your calling at Mercy! Position Details: Primary Care Nurse RN or LPN Mercy Clinic Primary Care - Edmond I-35 South Monday-Friday, 40 hours per week *This is a hybrid remote position. The person hired for this role will complete at least 90 days of...Remote workFull timeMonday to Friday2 days per week3 days per week
- ...States of America) Job Summary: As an on-site Hospital Utilization Management (UM) Nurse, you are the primary link between the clinical floor and administrative compliance. Unlike remote roles, this position relies heavily on real-time, face-to-face interaction with...Remote workFull timeImmediate startShift work
$75k
...is seeking an Utilization Management Nurse Supervisor to lead the UM nursing team, oversee daily operations... ...improvements. The position offers remote work with timely communication expectations... ...growth within a national DMEPOS network. #J-18808-Ljbffr Integra PartnersRemote job$21.45 - $29.11 per hour
...Qualifications: Under the supervision of a Registered Nurse (RN), you will work collaboratively with... ...well-being. Key Responsibilities of this LPN: * Deliver high-quality nursing care to... ...wellness activities. FTE: 0.7 Possible Remote/Hybrid Option: Shift Rotation: Permanent...Remote workPermanent employmentLocal areaImmediate startWork from homeFlexible hoursShift workWeekend workAfternoon shift$40k
...Geisinger is proud to offer an Inpatient Licensed Practical Nurse (LPN) a $10,000 sign on bonus for eligible candidates as well as up... ...consists of a broad range of acute to complex medical conditions with remote telemetry and dialysis capability. Hospitalists services 24/7...Remote workFull timeTemporary workPart timeRelocation packageFlexible hoursShift workNight shiftWeekend workAfternoon shift$28 per hour
LPN Utilization Management Nurse Reviewer Miami, FL (Work from Home position for FL residents only) Currently... ...) concurrent and retrospective UM related functions: 1 year (Required)... ...state of FL (Required) Work Location: Remote #J-18808-Ljbffr Coastal Care Services...Remote workHourly payFull timeWork at officeLocal areaWork from homeRelocationHome officeWeekday work$26 per hour
...A-Line Staffing is now hiring a Licensed Vocational Nurse (LPN/LVN) – Prior Authorization/Appeals (Remote)! Licensed Vocational Nurse Highlights Pay: $26.00 per hour Schedule: Monday–Friday (40 hrs/week)Training: M–F 8:00am–4:30pm CT Permanent schedule: Shifts M–F between...Remote workHourly payPermanent employmentFull timeTemporary workWork at officeImmediate startWork from homeMonday to FridayShift work$26.1 - $38.7 per hour
...seeking to hire a Licensed Practice Nurse-Physician Practice to join the... ...Licensed Practical Nurse (LPN) in a physician practice or clinic... ...nursing program leading to LPN/LVN eligibility is required. A high... ...that are available as remote work, Sentara Health employs associates...Remote workHourly payFull timeTemporary workWork at officeRelocation packageShift work- Position Overview The Licensed Practical Nurse (LPN/LVN) is responsible for providing and documenting skilled nursing care, under the supervision... ...have visual and hearing acuity. Environment This is a remote work position that requires availability during posted...Remote workWork at office
- ...search of a Licensed Vocational Nurse to join our team at Memorial... ...checklist. Initiates training of new LVN team members. Reviews PT/INRs... ...changes as needed. Reviews remote patient pacemaker and... ...and pro sports teams add to its appeal. Whether for career growth or...Remote workWork at officeMonday to FridayShift work
- ...Looking for qualified Wound Care Nurse (RN or LPN) to join our team! PRN Location: Middleton Oaks Health and Rehabilitation * 627 Middleton... ...outcomes for older adults. From telemedicine services and remote health monitoring to advanced diagnostic tools and customized...Remote workReliefLocal areaShift workNight shiftWeekend workDay shiftAfternoon shift
$29 - $30 per hour
...Licensed Practical Nurse - LPN Location: Coventry, Rhode Island Pay Rate: $29 - $30 per hour Employment Types: Full-Time and Part... ...and pediatric patients at home, using clinical protocols and remote telemedicine support. Responsibilities Act as a...Remote workHourly payFull timePart timeWork experience placement$37 per hour
...Join Our Team as an LPN (Licensed Practical Nurse)! Pay Rate: $37.00/hr NOW HIRING: Licensed Practical Nurse (Non-Driver) Employment Type:... ...platform offering mobile health services, population health, remote patient monitoring, and ambulance services. By moving...Remote workFull timeWork experience placement
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