Integra Partners is seeking an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals in a managed care UM program.
You will collaborate with the Medical Director to review benefit language, medical necessity, and appeals within NCQA-compliant processes.
This role requires 3+ years of nursing experience, 2+ years in UM, and strong communication skills.
The position offers competitive compensation, comprehensive benefits, and opportunities for skilled #J-18808-Ljbffr