Remote Utilization Review Nurse; LPN/LVN
Jacksonville, Duval County, Florida, 32099, USA
Listed on 2026-10-30
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Nursing
LPN/LVN, Healthcare Nursing, Nursing Home
Integra Partners is seeking an LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director to review benefit and medical necessity within an NCQA-compliant UM program.
Responsibilities include authorizing eligible requests, referring non-eligible cases to the Medical Director, handling appeals, and ensuring compliance with NCQA, CMS and state standards.
We have an opening for a Remote Utilization Review Nurse (LPN/LVN) in FL, United States within Bio & Pharmacology & Health.
Join us at Integra Partners as our next Remote Utilization Review Nurse (LPN/LVN) in FL, United States.
We are currently recruiting a Remote Utilization Review Nurse (LPN/LVN) for our team in FL, United States.
This is an excellent opening to take on the Remote Utilization Review Nurse (LPN/LVN) role at Integra Partners.
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