Remote Utilization Management Nurse (LPN/LVN)
Integra Partners
Integra Partners is a leading national DMEPOS network administrator focused on improving access to in-home healthcare. We collaborate with payers, providers, and members through innovative technology to deliver better health outcomes and efficient management of complex benefits. With a Michigan location and a remote workforce across the United States, Integra fosters a culture of collaboration and results, offering remote opportunities and a comprehensive benefits package to support our team #J-18808-Ljbffr
Vacancy posted 5 days ago
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United States4 days ago - ...Integra Partners seeks an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals within a NCQA-... ...as LPN/LVN, at least 3 years nursing experience, and 2+ years UM experience in managed care. Remote opportunities are available. #J-...Remote work
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United States3 days ago - ...seeking an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals for... ...UM program. The UM Nurse will collaborate with our... ...CMS guidelines, and manage pre-authorization and denial... ...letter processes. Remote opportunities may be available...Remote work
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United States2 days ago - ...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...Remote workFull time
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United States2 days ago - ...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
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Brooklyn, NY3 days ago - ...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... ...hold an active LVN license, at least 3 years nursing experience, and 2 years UM experience in a...Remote work
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Las Vegas, NV3 days ago - ...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
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United States3 days ago - ...To support a managed care environment, the full-time LPN Utilization Management Nurse will perform pre-service and post-service utilization... ...with the Medical Director in a remote setting. Key responsibilities... ...Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN...Remote workFull time
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Integra Partners
Clifton, TX2 days ago - ...Partners is seeking a licensed practical/vocational nurse to perform pre-service and post-service utilization management reviews, applying federal/state mandates and... ...with NCQA, CMS and state standards, and offers remote opportunities along with competitive compensation...Remote work
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Columbia, SC3 days ago - ...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
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Yuma, AZ3 days ago - ...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... ...payor environments. The role requires an active LPN/LVN license, at least 3 years of nursing in acute or...Remote work
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Milton, MA12 hours ago $28 per hour
LPN Utilization Management Nurse Reviewer Miami, FL (Work from Home position for FL residents only) Currently seeking an LPN FL licensed Utilization... ...LPN clear and active for the state of FL (Required) Work Location: Remote #J-18808-Ljbffr Coastal Care Services, Inc.Remote workHourly payFull timeWork at officeLocal areaWork from homeRelocationHome officeWeekday 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
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New York, NY7 hours ago $65k - $85k
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New York, NY10 hours ago- ...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
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Oklahoma City, OK3 days ago - ...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
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United States4 days ago - ...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
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Phoenix, AZ2 days ago - ...Partners is seeking an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals within a... ...competitive compensation with benefits, remote opportunities across multiple... ...with UM experience in managed care are encouraged to apply. #J...Remote job
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- ...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... ...guidelines. The role supports a nationwide remote workforce with competitive compensation,...Remote work
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United States2 days ago - ...Integra Partners seeks an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You... ...an active LPN/LVN license, 3+ years nursing experience, and 2+ years UM experience in a managed care setting, with familiarity in InterQual...Remote work
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United States12 hours ago - ...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
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United States2 days ago - ...them. Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. As an inpatient review nurse, you will assist... ...have and maintain an active, valid, and unrestricted LVN or RN license in California (Non-Compact)...Remote workImmediate startMonday to Friday
Alignment Health
Crystal Bay, NV2 days ago - ...Integra Partners is seeking a Licensed Practical Nurse for utilization management reviews. The role involves pre-service and post-service UM authorization... ...CMS/state standards. Qualified candidates have an active LVN/LPN license, 3+ years of nursing in acute/outpatient settings...Remote work
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Columbus, OH3 days ago - ...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
United States2 days ago
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