Integra Partners is seeking an LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director to review benefit and medical necessity within an NCQA-compliant UM program.
Responsibilities include authorizing eligible requests, referring non-eligible cases to the Medical Director, handling appeals, and ensuring compliance with NCQA, CMS and state standards.
#J-18808-LjbffrRemote Utilization Review Nurse (LPN/LVN) in workfromhome at Unknown Company
- Typical pay
- $69,680–$99,840
For context, most lpns earn between $69,680–$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.