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Remote Appeals LPN UM/UR Clinical Reviewer
Remote / Online - Candidates ideally in
Wentzville, St. Charles County, Missouri, 63385, USA
Listed on 2026-07-14
Wentzville, St. Charles County, Missouri, 63385, USA
Listing for:
Actalent
Remote/Work from Home
position Listed on 2026-07-14
Job specializations:
-
Management
Healthcare Management
Job Description & How to Apply Below
Actalent is seeking a team of UM/Appeals LPNs for a fully remote role. The Appeals Clinical Reviewer evaluates member and provider appeals for medical necessity, authorization decisions, and claims outcomes, applying guidelines and Medicaid regulations to ensure fair and timely determinations.
This remote contract-to-hire position offers exposure to utilization management, collaboration with Medical Directors, and opportunities for permanent placement while working from home.
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