Job Description
Case Management Analyst (UM)
Pay Rate: $30/hour
Location: Remote
Schedule: Monday–Friday, Standard Business Hours
Assignment Length: 5 months (potential for extension or conversion based on performance, attendance, and business need)
Target Start Date: 05/04/2026
Benefits: Health, Dental, Vision
About the Role
We are seeking a Licensed Practical Nurse (LPN) to support pre-authorization and utilization management reviews in accordance with medical contracts, regulatory guidelines, and evidence-based clinical criteria. This role focuses on evaluating medical necessity, appropriateness of care, and quality of services to ensure compliant and cost-effective patient outcomes.
Responsibilities
- Conduct pre-authorization and utilization reviews in alignment with medical policies, contracts, and regulatory requirements
- Perform clinical review of medical ne...