Remote UM Nurse LPN Utilization Review & Appeals

Integra Partners

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 with the Medical Director to ensure medical necessity reviews align with NCQA-compliant UM program standards.

The role requires active LPN/LVN licensure, at least 3 years of nursing in acute or outpatient care, and 2+ years UM experience.

#J-18808-Ljbffr

Apply

Vacancy posted 2 days ago

Similar jobs that could be interesting for youBased on the Remote UM Nurse LPN Utilization Review & Appeals in United States vacancy

Remote UM Nurse LPN - Utilization Review & Appeals
...seeking an experienced LPN/LVN to conduct pre-... ...service and post-service utilization reviews and appeals in a managed care... ...within an NCQA-compliant UM program. The role... ..., 3+ years of nursing experience, and 2+ years... ...preferred, and we offer remote work options and a...
Remote work
Integra Partners
United States
2 days ago
Remote UM Nurse - Utilization Review & Appeals (LPN/LVN)
...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 our Medical... ...approvals, referrals, and handling appeals. Remote opportunities available and strong team...
Remote work
Integra Partners
United States
2 days ago
Remote UM Nurse LPN - Utilization Review & Appeals
...Integra Partners is seeking an LPN/LVN with managed care... ...pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate... ...necessity reviews meet NCQA UM standards, using InterQual... ...role supports a nationwide remote workforce with competitive compensation...
Remote work
Integra Partners
United States
1 day ago
Remote UM Nurse LPN Utilization Review & Appeals
...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
United States
2 days ago
Remote UM Nurse (LPN/LVN) — Utilization Review & Appeals
Integra Partners seeks an experienced LPN/LVN to support utilization review in a managed care UM program. You will perform pre/post service reviews... ...cases and manage administrative appeals within NCQA-aligned guidelines. Remote opportunities across the US are available...
Remote job
Integra Partners
Brooklyn, NY
2 days ago
Remote Utilization Management Nurse (LPN/LVN) - UM & Appeals
...Partners seeks an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals within a NCQA-compliant UM program. You will... ...LPN/LVN, at least 3 years nursing experience, and 2+ years... ...in managed care. Remote opportunities are available...
Remote work
Integra Partners
New York, NY
3 days ago
Remote UM Nurse (LPN/LVN) - Utilization & Appeals
...Partners seeks a licensed LPN/LVN with managed care UM experience to perform... ...service and post-service utilization reviews and appeals. You will collaborate with... ...role requires active nursing licensure, 3+ years of nursing... ..., and 2+ years in UM. Remote opportunities are...
Remote work
Integra Partners
New York, NY
1 day ago
Remote Utilization Management Nurse (LPN/LVN) - UM & Appeals
...Partners is seeking an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals for DMEPOS within an NCQA-compliant UM program. The UM Nurse will collaborate with our... ...and denial letter processes. Remote opportunities may be...
Remote work
Integra Partners
United States
2 days ago
Remote LPN Utilization Management Nurse UM & Appeals
...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... ...communicate outcomes, and support appeals. It requires strong UM experience in managed care and familiarity...
Remote work
Full time
Integra Partners Holdings, Inc.
United States
1 day ago
Remote UM Nurse LPN for DMEPOS Utilization & Appeals
...Partners seeks an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will... ...decisions align with NCQA-compliant UM programs, contributing to high... ...active LPN/LVN license, 3+ years nursing experience, and 2+ years UM...
Remote work
Integra Partners
Phoenix, AZ
2 days ago
Remote Utilization Management Nurse (LPN/LVN) UM & Appeals
...Partners is seeking a licensed practical nurse (LPN/LVN) experienced in the managed care... ...perform pre-service and post-service utilization reviews and appeals for DMEPOS. The role collaborates... ...necessity decisions within an NCQA-compliant UM program. The UM Nurse will conduct...
Remote work
Integra Partners
Brooklyn, NY
3 days ago
Remote Utilization Management Nurse (LPN/LVN) - Appeals & UM Expert
...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... ...medical necessity within an NCQA-compliant UM program. Responsibilities include...
Remote work
Integra Partners
Yuma, AZ
3 days ago
UM Nurse LPN - Remote Utilization & Appeals Expert
...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 role requires an active LPN/LVN license, at least 3 years of nursing...
Remote work
Integra Partners
Milton, MA
1 day ago
Remote Utilization Management Nurse (LPN/LVN) - UM & Appeals
...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
United States
4 days ago
Remote UM Nurse (LPN/LVN) - Utilization & Appeals Expert
...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 our Medical Director within an NCQA-compliant UM program to ensure medical necessity reviews meet federal...
Remote work
Integra Partners
United States
4 days ago
UM Nurse LPN Managed Care Appeals (Remote)
...Integra Partners seeks an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals in a NCQA-compliant UM program. The role collaborates with the... ...are a current LPN/LVN license, 3+ years nursing in acute/outpatient care, and 2+ years...
Remote work
Integra Partners
United States
2 days ago
Remote UM Nurse (LPN/LVN) - DMEPOS Appeals
...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 in Michigan. You will... ...requests. The role requires 3+ years nursing experience, 2+ years UM in managed care...
Remote work
Integra Partners
Coloma, MI
3 days ago
Remote Utilization Management Nurse (LPN/LVN) - Appeals
...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... ...has at least 3 years of nursing experience, with 2 years... ...managed care. Colorado-based remote-friendly position with...
Remote work
Integra Partners
United States
3 days ago
Remote UM Nurse LPN Care Management & Appeals
...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... .... The role requires active nursing licensure, 3+ years in acute/outpatient...
Remote work
Integra Partners
East Hartford, CT
9 hours ago
Remote LPN UM Nurse: Managed Care & Appeals
...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 with... ...NCQA-compliant UM standards. The UM Nurse will review pre/post service requests...
Remote work
Integra Partners
United States
2 days ago
Remote UM Nurse (LPN/LVN) - Medical Necessity & Appeals
...seeking a Licensed Practical Nurse for utilization management reviews. The role involves pre-service and post-service UM authorization, determining... .... The position supports appeals processing and ensures... ...candidates have an active LVN/LPN license, 3+ years of nursing...
Remote work
Integra Partners
Columbus, OH
3 days ago
Remote UM Nurse (LPN/LVN) — DMEPOS Appeals
...Partners is seeking an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will... ...Director to ensure NCQA-compliant UM programs and benefit... .... The role requires 3+ years nursing and 2+ years UM experience in...
Remote job
Integra Partners
Central City, CO
4 days ago
Remote Utilization Review Nurse (LPN/LVN)
...Integra Partners is seeking an LPN/LVN experienced in the managed care payor environment... ...perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with... ...necessity within an NCQA-compliant UM program. Responsibilities include...
Remote work
Integra Partners
United States
1 day ago
Remote UM Nurse LPN - Care Management & Appeals
...Partners seeks an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals for DMEPOS. The role collaborates... ...Director in a NCQA-compliant UM program. Responsibilities... ...ensuring NCQA and CMS compliance. Remote opportunities are available...
Remote work
Integra Partners
Columbia, SC
1 day ago
Remote UM Nurse LPN/LVN - Care Management & Appeals
...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
Integra Partners
United States
2 days ago
Remote UM Nurse (LPN/LVN) - Medical Necessity & Appeals
...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-...
Remote work
Integra Partners
Phoenix, AZ
3 days ago
Remote Utilization Management Nurse (LPN/LVN) - Appeals Expert
...Integra Partners is seeking an LPN/LVN with experience in the managed care payor... ...perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with... ...Medical Director to ensure NCQA-compliant UM program operations. The role...
Remote work
Integra Partners
Phoenix, AZ
2 days ago
Utilization Management Nurse Reviewer LPN (Work at Home for FL residents only)
$28 per hour
LPN Utilization Management Nurse Reviewer Miami, FL (Work from Home position for FL residents only) Currently seeking... ...) concurrent and retrospective UM related functions: 1 year (Required)... ...state of FL (Required) Work Location: Remote #J-18808-Ljbffr Coastal Care...
Remote work
Hourly pay
Full time
Work at office
Local area
Work from home
Relocation
Home office
Weekday work
Coastal Care Services, Inc.
Miami, FL
4 days ago
Remote Utilization Management Nurse (LPN/LVN)
...Partners seeks an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals within a NCQA-compliant UM program. You will... ...LVN licensure, 3+ years nursing in acute/outpatient settings... ...in managed care. Remote opportunities are available...
Remote work
Integra Partners
United States
4 days ago
Utilization Management Nurse - LPN/LVN
...Integra is looking for a LPN/LVN experienced in the... ...service and post-service utilization reviews and appeals for DMEPOS. This individual... ...an NCQA-compliant UM program. The UM Nurse’s responsibilities include... ...and wellness programs ~ Remote Opportunities...
Remote work
Temporary work
Local area
Integra Partners
Clifton, TX
3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote UM Nurse LPN Utilization Review & Appeals. Be the first to apply!