Remote UM Nurse - Utilization Review & Appeals; LPN/LVN
Columbus, Franklin County, Ohio, 43085, USA
Listed on 2026-10-26
-
Nursing
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 Director.
The role emphasizes applying federal/state mandates, plan benefits, and guidelines such as Inter Qual and CMS to determine medical necessity, with responsibilities including approvals, referrals, and handling appeals. Remote opportunities available and strong team culture.
Join us at Integra Partners as our next Remote UM Nurse - Utilization Review & Appeals (LPN/LVN) in OH, United States.
The position is based in OH, United States.
This opportunity is part of our work in Bio & Pharmacology & Health.
The advertised compensation is 65.000 - 90.000.
This role offers the option to work remotely.
We aim to respond to suitable candidates as soon as possible.
Full responsibilities and requirements are described in the listing above.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).