Integra Partners is seeking an LPN/LVN with managed care experience to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with the Medical Director to conduct benefit and medical necessity reviews within an NCQA-compliant UM program.
Responsibilities include reviewing requests against plan benefits and criteria, approving eligible cases, and escalating non-eligible ones to the Medical Director.
#J-18808-LjbffrRemote UM LPN - DMEPOS Utilization & Appeals in workfromhome at Unknown Company
- Typical pay
- $72,020–$99,840
For context, most lpns earn between $72,020–$99,840 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 onsite.