Remote UM Nurse; LPN/LVN; Medical Necessity & Appeals
Columbus, Franklin County, Ohio, 43085, USA
Listed on 2026-10-26
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Nursing
LPN/LVN, Healthcare Nursing, Nursing Home
Integra Partners is seeking a Licensed Practical Nurse for utilization management reviews. The role involves pre-service and post-service UM authorization, determining eligibility, and referring non-eligible cases to the Medical Director.
The position supports appeals processing and ensures compliance with NCQA/CMS/state standards. Qualified candidates have an active LVN/LPN license, 3+ years of nursing in acute/outpatient settings, and at least 2 years of UM experience.
Are you ready to take on the Remote UM Nurse (LPN/LVN) - Medical Necessity & Appeals role at Integra Partners?
This is a genuine opportunity to take on the Remote UM Nurse (LPN/LVN) - Medical Necessity & Appeals role at Integra Partners.
As a Remote UM Nurse (LPN/LVN) - Medical Necessity & Appeals, you will play an important part at Integra Partners in OH, United States.
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