Remote UM Nurse LPN/LVN - Care Management & Appeals
Akron, Summit County, Ohio, 44301, USA
Listed on 2026-11-01
-
Nursing
LPN/LVN
Integra Partners is seeking an LPN/LVN with experience in the managed care UM environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director to conduct benefit and medical necessity reviews within a NCQA compliant UM program.
Responsibilities include approving eligible requests, referring non-criteria cases to the Medical Director, handling administrative and clinical appeals, and maintaining compliance with NCQA,
We would love to welcome a new Remote UM Nurse LPN/LVN
- Care Management & Appeals to our group in Columbus, OH, United States.
Our organisation is growing, and we are hiring a Remote UM Nurse LPN/LVN
- Care Management & Appeals in Columbus, OH, United States.
This opening is for the Remote UM Nurse LPN/LVN
- Care Management & Appeals role at Integra Partners.
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