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UM Nurse LPN​/LVN - Managed Care Utilization & Appeals

Job in Richmond, Madison County, Kentucky, 40475, USA
Listing for: Integra Partners
Full Time position
Listed on 2026-10-28
Job specializations:
  • Nursing
    LPN/LVN, Healthcare Nursing, Nursing Home
Salary/Wage Range or Industry Benchmark: 60000 - 90000 USD Yearly USD 60000.00 90000.00 YEAR
Job Description & How to Apply Below

Integra Partners seeks an LPN/LVN experienced in managed care to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director to conduct benefit and medical necessity reviews within an NCQA-compliant UM program, ensuring care is appropriate and benefits align with plan policies.

The role requires an active LPN/LVN license, a minimum of 3 years nursing experience, and at least 2 years in UM within a payor environment.

Are you ready to take on the UM Nurse LPN/LVN
- Managed Care Utilization & Appeals role at Integra Partners?

The advertised compensation is 60.000 - 90.000.

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

Full responsibilities and requirements are described in the listing above.

Learn more about the UM Nurse LPN/LVN
- Managed Care Utilization & Appeals role in the description above.

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