Mindlance · 4 hours ago
Case Management Analyst - LPN/LVN
United States
Contract
Remote
New Grad, Entry LevelMindlance is seeking a Case Management Analyst with an LPN/LVN license. The role involves conducting pre-authorization reviews in line with medical contracts and regulations, focusing on utilization review and quality of care.
Human Resources
Responsibilities
This position is responsible for pre-authorization reviews in accordance with the medical contract and regulations, medical criteria, utilization review, and quality of care
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
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
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