UM Nurse LPN — Managed Care Appeals; Remote

Integra Partners seeks an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals in a NCQA-compliant UM program. The role collaborates with the Medical Director to assess medical necessity and benefit coverage for DMEPOS.

Required are a current LPN/LVN license, 3+ years nursing in acute/outpatient care, and 2+ years UM in managed care. Prior experience with Inter Qual and CMS guidelines is valued; denial letters are often written.

This posting is for the UM Nurse LPN — Managed Care Appeals (Remote) role at Integra Partners, based in IL, United States.

This opportunity is part of our work in Bio & Pharmacology & Health.

The advertised compensation is 70.000 - 90.000.

We aim to respond to suitable candidates as soon as possible.

Full responsibilities and requirements are described in the listing above.