Job Title: Case Management Analyst
Location: Remote, TN
Duration: 6 Months+ (Possible extension)
Job Summary:
Workers will be remote but should be located in one of the 6 states: TN, IL, TX, OK, NM or MT. Please put location on top of resume for the manager to review.
Description:
LPN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan.
Responsibilities:
Workers will be remote but should be located in TN, IL, TX, OK, NM or MT. Please put location on top of resume for the manager to review.
This position is responsible for pre-authorization reviews in accordance with the medical contract and regulations, medical criteria, utilization review, and quality of care.