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Case Management Analyst

Company

Tailored Management

Location

Nashville, Tennessee, United States

Type

Full-time

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...

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