Integra Partners is seeking a licensed LPN/LVN with managed care UM experience to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director to ensure medical necessity reviews align with NCQA standards.
The UM Nurse will review requests using InterQual and CMS guidelines, approve eligible cases, and refer others to the Medical Director. Remote opportunities are available across the United States.
#J-18808-LjbffrRemote LPN Utilization Review Nurse - Managed Care in workfromhome at Unknown Company
- Typical pay
- $70,200–$96,720
For context, most lpns earn between $70,200–$96,720 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and able to be worked remotely.