Remote UM Nurse LPN — Care Management & Appeals
Greenwich, Fairfield County, Connecticut, 06830, USA
Listed on 2026-10-28
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Nursing
LPN/LVN, Nursing Home, Healthcare Nursing
Integra Partners is seeking an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals within a NCQA-compliant UM program. You will collaborate with our Medical Director on benefit and medical necessity reviews in a managed care/payor environment.
The role requires active nursing licensure, 3+ years in acute/outpatient settings, and 2+ years in UM. Strong knowledge of medical necessity criteria (Inter Qual/CMS) is essential; denial-letter experience is a plus.
This role, Remote UM Nurse LPN — Care Management & Appeals at Integra Partners, could be your next career step.
The advertised compensation is 70.000 - 95.000.
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 UM Nurse LPN — Care Management & Appeals role in the description above.
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