UM Nurse LPN - Remote Utilization Review & Appeals (Etobicoke)

UM Nurse LPN - Remote Utilization Review & Appeals (Etobicoke)

05 Nov
|
Integra Partners
|
Etobicoke

05 Nov

Integra Partners

Etobicoke

Integra Partners is seeking an LPN/LVN with managed care UM experience to perform pre- and post-service utilization reviews and appeals for DMEPOS.

You will collaborate with our Medical Director to assess benefit and medical necessity within an NCQA-compliant UM program.

Responsibilities include reviewing criteria, approving eligible requests, and referring complex cases to the Medical Director.

The role requires active licensure and several years of nursing and UM experience in a payor #J-18808-Ljbffr

📌 UM Nurse LPN - Remote Utilization Review & Appeals (Etobicoke)
🏢 Integra Partners
📍 Etobicoke

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