Remote UM Nurse - LPN/LVN Care Management & Appeals
Williamstown, Gloucester County, New Jersey, 08094, USA
Listed on 2026-10-26
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Nursing
LPN/LVN, Healthcare Nursing, Nursing Home
Integra Partners is seeking an experienced LPN/LVN to conduct pre-service and post-service utilization reviews and appeals for DMEPOS within an NCQA-compliant UM program. You will collaborate with the Medical Director to assess medical necessity and benefit coverage.
The ideal candidate has 2+ years UM experience in managed care, 3+ years of nursing in acute or outpatient settings, and strong knowledge of Inter Qual/CMS policies.
We have an opening for a Remote UM Nurse - LPN/LVN Care Management & Appeals in Williamstown, NJ, United States within Bio & Pharmacology & Health.
Learn more about the Remote UM Nurse - LPN/LVN Care Management & Appeals role in the description above.
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