Remote UM Nurse - LPN/LVN Care Management & Appeals
Toms River, Ocean County, New Jersey, 08753, USA
Listed on 2026-11-01
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Nursing
LPN/LVN, Healthcare Nursing, Nursing Home
Integra Partners is seeking an experienced LPN/LVN to conduct pre-service and post-service utilization reviews and appeals for DMEPOS within an NCQA-compliant UM program. You will collaborate with the Medical Director to assess medical necessity and benefit coverage.
The ideal candidate has 2+ years UM experience in managed care, 3+ years of nursing in acute or outpatient settings, and strong knowledge of Inter Qual/CMS policies.
This role, Remote UM Nurse - LPN/LVN Care Management & Appeals at Integra Partners, could be your next opportunity.
We would love to welcome a new Remote UM Nurse - LPN/LVN Care Management & Appeals to our group in Williamstown, NJ, United States.
For the Remote UM Nurse - LPN/LVN Care Management & Appeals position at Integra Partners, we are reviewing applications now.
Step into the Remote UM Nurse - LPN/LVN Care Management & Appeals role at Integra Partners in Williamstown, NJ, United States and grow with us.
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