Remote UM Nurse; LPN/LVN Utilization Review & Appeals
Alpharetta, Fulton County, Georgia, 30383, USA
Listed on 2026-11-01
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Nursing
LPN/LVN, Healthcare Nursing, Nursing Home, Travel Nurse
Integra Partners is seeking an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals for DMEPOS within a NCQA-compliant UM program. You will collaborate with the Medical Director to assess medical necessity and benefit coverage.
The candidate must hold an active LPN/LVN license, with at least 3 years of nursing experience and 2 years in managed care UM, and have knowledge of Inter Qual and CMS criteria.
We have an opening for a Remote UM Nurse (LPN/LVN) – Utilization Review & Appeals in Atlanta, GA, United States within Bio & Pharmacology & Health.
We would love to welcome a new Remote UM Nurse (LPN/LVN) – Utilization Review & Appeals to our group in Atlanta, GA, United States.
For the Remote UM Nurse (LPN/LVN) – Utilization Review & Appeals position at Integra Partners, we are reviewing applications now.
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