Mindlance · 11 hours ago
Case Management Analyst
United States
Full-time
Remote
Mid LevelMindlance is a company focused on providing staffing solutions, and they are seeking a Case Management Analyst to work remotely. The role involves validating medical necessity and appropriateness of treatment plans in the insurance or managed care industry, ensuring compliance with medical criteria and regulations.
Human Resources
Responsibilities
LPN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan
This position is responsible for pre-authorization reviews in accordance with the medical contract and regulations, medical criteria, utilization review, and quality of care
Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested
Maintain production requirements based on established department business needs
Qualification
Required
LPN with valid, current, unrestricted clinical license in the state of operations
Clinical experience in Home Health and DME
Utilization review or utilization management experience
Clinic Review for medical necessity based on specific needs of the patient and evidence supporting it and appropriateness of services
Clinical Reviewer with relevant expertise and Medicare UM experiences responsible for making determinations utilizing the correct criteria and consider the clinical information provided
Customer service oriented to assist internal/external customers
Verbal and written communication skills
Interpersonal skills and ability to be a team player
Familiar with PC or database systems
Incumbents with nursing licenses in positions/departments requiring multi-state licenses or compact licensure within your residential state
Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies. Maintain complete confidentiality of company business
Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested
Maintain production requirements based on established department business needs
Company
Mindlance
Mindlance is a Staffing and Recruiting company which provides multi-vertical staffing services
Founded in 1999
1001-5000 employees
H1B Sponsorship
Mindlance has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (71)
2024 (53)
2023 (37)
2022 (72)
2021 (36)
2020 (40)
Funding
Current Stage
Late StageLeadership Team
R
Rajat Paul Dhall
Co-Founder & Managing Director
V
Vik Kalra
Co-Founder and Managing Director
Recent News
2025-11-19
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