Remote LPN Utilization Management Nurse UM & Appeals

Integra Partners Holdings, Inc.

Integra Partners Holdings, Inc. is seeking a full-time remote LPN Utilization Management Nurse to perform pre-service and post-service utilization reviews for DMEPOS, ensuring NCQA standards and medical necessity criteria. The role collaborates with the Medical Director to review authorizations, communicate outcomes, and support appeals. It requires strong UM experience in managed care and familiarity with InterQual and CMS guidelines. #J-18808-Ljbffr

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Vacancy posted 1 day ago

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