Remote LPN UM Nurse: Care Management & Appeals
Hilton Head Island, Beaufort County, South Carolina, 29925, USA
Listed on 2026-11-01
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Nursing
Nursing Home, Healthcare Nursing
Integra Partners is seeking an experienced LPN/LVN to conduct pre-service and post-service utilization reviews and appeals for DMEPOS within a NCQA-compliant UM program. The role collaborates with the Medical Director on benefit and medical necessity reviews.
The UM Nurse will perform reviews, approve eligible requests, refer non-qualifying cases, and handle appeals while ensuring compliance with NCQA, CMS, and state standards. Remote opportunities are available across the United States.
This role, Remote LPN UM Nurse:
Care Management & Appeals at Integra Partners, could be your next move.
This opportunity is part of our work in Bio & Pharmacology & Health.
The advertised compensation is 55.000 - 75.000.
This role offers the option to work remotely.
We aim to respond to suitable candidates as soon as possible.
Full responsibilities and requirements are described in the listing above.
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