Remote UM Nurse LPN - Utilization Reviews & Appeals
Paterson, Passaic County, New Jersey, 07501, USA
Listed on 2026-10-31
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Nursing
Healthcare Nursing, Nursing Home, LPN/LVN
Integra Partners is seeking an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals in a managed care UM program. This role collaborates with the Medical Director on benefit and medical necessity reviews, aligned with NCQA standards.
The UM Nurse will review requests, approve those meeting criteria, and refer others to leadership. This position requires nursing experience and familiarity with Inter Qual, CMS guidelines, and payer policies.
We are currently recruiting a Remote UM Nurse LPN
- Utilization Reviews & Appeals for our team in Clifton, TX, United States.
This role, Remote UM Nurse LPN
- Utilization Reviews & Appeals at Integra Partners, could be your next move.
Are you ready to take on the Remote UM Nurse LPN
- Utilization Reviews & Appeals role at Integra Partners?
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