Remote Appeals LPN: Medicaid UR Reviewer
Remote / Online - Candidates ideally in
Springfield, Greene County, Missouri, 65801, USA
Listed on 2026-07-14
Springfield, Greene County, Missouri, 65801, USA
Listing for:
Actalent
Remote/Work from Home
position Listed on 2026-07-14
Job specializations:
-
Nursing
Job Description & How to Apply Below
Actalent is seeking an Appeals Clinical Reviewer for remote, contract-to-hire engagement based in Saint Louis, MO. The role focuses on reviewing member and provider appeals related to medical necessity, authorization decisions, and claims outcomes.
Applicants should have 2+ years in utilization management/review and Medicaid exposure, plus a Florida LPN license. Strong clinical judgment and communication are essential for timely, compliant determinations.
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