Remote UM Nurse LPN – Care Management & Appeals

Integra Partners seeks an LPN/LVN with managed care UM experience to perform pre-service and post-service utilization reviews for DMEPOS. You will collaborate with the Medical Director on benefit and medical necessity decisions within a NCQA-compliant UM program.

The role involves applying federal and state mandates, plan benefit language, and criteria such as Inter Qual and CMS guidelines to authorize or deny requests, while handling appeals and maintaining strict compliance with accrediting

This role, Remote UM Nurse LPN – Care Management & Appeals at Integra Partners, could be your next move.

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Join Integra Partners and contribute to our ongoing work.

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This posting is for the Remote UM Nurse LPN – Care Management & Appeals role at Integra Partners, based in Phoenix, AZ, United States.