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UM Nurse LPN - Remote Care Management & Appeals

Remote / Online - Candidates ideally in
Covington, Kenton County, Kentucky, 41011, USA
Listing for: Integra Partners
Full Time, Remote/Work from Home position
Listed on 2026-11-01
Job specializations:
  • Nursing
    LPN/LVN, Nursing Home
Salary/Wage Range or Industry Benchmark: 70000 - 100000 USD Yearly USD 70000.00 100000.00 YEAR
Job Description & How to Apply Below

Integra Partners is seeking an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals within a NCQA-compliant UM program. The role collaborates with the Medical Director on benefit and medical necessity reviews in a managed care payor environment.

The UM Nurse will conduct reviews, approve eligible requests, refer non-eligible cases, and handle appeals while maintaining regulatory compliance and documentation standards.

The following position is for a UM Nurse LPN
- Remote Care Management & Appeals with Integra Partners.

We have an opening for a UM Nurse LPN
- Remote Care Management & Appeals in Central City, KY, United States within Bio & Pharmacology & Health.

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

Are you ready to take on the UM Nurse LPN
- Remote Care Management & Appeals role at Integra Partners?

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