Remote UM Nurse; LPN/LVN; Medical Necessity Reviews
-
Nursing
Healthcare Nursing, Nursing Home, LPN/LVN
Job Description & How to Apply Below
Integra Partners seeks an LPN/LVN experienced in a managed care UM environment to conduct pre-service and post-service utilization reviews and appeals for DMEPOS. Work with our Medical Director on benefit and medical necessity reviews within an NCQA-compliant UM program.
The role involves performing reviews, approving eligible requests, and coordinating with leadership on complex cases, while ensuring compliance with NCQA, CMS and state requirements. Remote opportunities may be available.
We are seeking a motivated Remote UM Nurse (LPN/LVN) - Medical Necessity Reviews to join Integra Partners in PA, United States.
Please review the full job details above before applying.
If your experience matches this role, we encourage you to apply.
All applications are reviewed carefully by our team.
The position is based in PA, United States.
This opportunity is part of our work in Bio & Pharmacology & Health.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).