Remote Utilization Review Nurse; LPN​/LVN

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.

This role, Remote Utilization Review Nurse (LPN/LVN) at Integra Partners, could be your next opportunity.

For the Remote Utilization Review Nurse (LPN/LVN) position at Integra Partners, we are reviewing applications now.

Step into the Remote Utilization Review Nurse (LPN/LVN) role at Integra Partners in FL, United States and grow with us.

Please review the full job details above before applying.

If your experience matches this role, we encourage you to apply.