Integra Partners is seeking a Licensed Practical Nurse (LPN/LVN) with experience in managed care payor environments to perform pre-service and post-service utilization reviews and appeals for DMEPOS.
The role collaborates with our Medical Director on benefit and medical necessity reviews within an NCQA-compliant UM program.
The UM Nurse will perform reviews, approve eligible requests, refer non-qualifying cases to the Medical Director, and handle administrative and clinical appeals while #J-18808-Ljbffr
📌 UM Nurse LPN Managed Care Utilization & Appeals (Remote) (Etobicoke)
🏢 Integra Partners
📍 Etobicoke
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