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Remote Utilization Review Nurse; LPN/LVN – UM & Appeals
Remote / Online - Candidates ideally in
Phoenix, Maricopa County, Arizona, 85003, USA
Listed on 2026-07-15
Phoenix, Maricopa County, Arizona, 85003, USA
Listing for:
Santa Barbara Cottage Hospital
Remote/Work from Home
position Listed on 2026-07-15
Job specializations:
-
Nursing
LPN/LVN, Healthcare Nursing, Nursing Home
Job Description & How to Apply Below
Integra Partners is seeking a licensed Practical Nurse (LPN/LVN) experienced in managed care UM to perform pre-service and post-service utilization reviews and appeals for DMEPOS, working with our Medical Director in a NCQA-compliant UM program. You will review benefit and medical necessity criteria, coordinate with clinical and non-clinical staff, and communicate outcomes both verbally and in writing.
A current LPN/LVN license, at least 3 years of nursing in acute or outpatient settings, and 2+
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