Remote Utilization Management Nurse; LPN/LVN
Newark, Essex County, New Jersey, 07101, USA
Listed on 2026-10-26
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Nursing
LPN/LVN, Healthcare Nursing
Integra Partners seeks an experienced LPN/LVN to conduct utilization reviews for DMEPOS within an NCQA-compliant UM program. You will collaborate with the Medical Director on benefit determinations and medical necessity reviews, performing pre- and post-service UM activities.
The ideal candidate has 3+ years nursing experience, 2+ years in UM within managed care, and familiarity with Inter Qual/CMS guidelines to support timely authorizations and appeals.
Consider building your career as a Remote Utilization Management Nurse (LPN/LVN) at Integra Partners.
This opportunity is part of our work in Human Resources, Bio & Pharmacology & Health.
The advertised compensation is 65.000 - 90.000.
We aim to respond to suitable candidates as soon as possible.
Full responsibilities and requirements are described in the listing above.
Learn more about the Remote Utilization Management Nurse (LPN/LVN) role in the description above.
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