UM Nurse LPN - Remote Utilization Review & Appeals
Caldwell, Canyon County, Idaho, 83605, USA
Listed on 2026-10-30
-
Nursing
LPN/LVN, Healthcare Nursing
Integra Partners is seeking an LPN/LVN with managed care UM experience to perform pre- and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director to assess benefit and medical necessity within an NCQA-compliant UM program.
Responsibilities include reviewing criteria, approving eligible requests, and referring complex cases to the Medical Director. The role requires active licensure and several years of nursing and UM experience in a payor
We are seeking a motivated UM Nurse LPN
- Remote Utilization Review & Appeals to join Integra Partners in Eagle, , United States.
Consider building your career as a UM Nurse LPN
- Remote Utilization Review & Appeals at Integra Partners.
The UM Nurse LPN
- Remote Utilization Review & Appeals position in the Bio & Pharmacology & Health field is open for applications.
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