Quality Analyst (Remote, LPN Required)
Pinnacle Method Consulting · United States · 2 wk ago
RemoteRemoteAnalyst$70k/yrFull-time
Why Consider This Job Opportunity
- Salary up to $70,000
- Comprehensive benefits package including health, dental, and vision coverage
- Opportunities for performance bonuses and retirement plans
- Broadly generous paid time off policy
- Support for remote work with provided Apple equipment and media stipend
- A fast-paced, high-performance culture with opportunities for professional growth
What To Expect (Job Responsibilities)
- Conduct assessments of medical services to validate their appropriateness using established criteria and guidelines
- Examine and evaluate patient records to verify the quality of care and necessity of services provided
- Offer clinical expertise and serve as a reference for non-clinical staff
- Input and manage essential clinical details within various medical management platforms
- Communicate effectively with management teams, physicians, and the Medical Director to foster high-quality patient care
What Is Required (Qualifications)
- Unrestricted LVN/RN license from an accredited program
- Minimum of 2 years of clinical nursing experience
- At least 1 year of previous experience in Utilization Management
- Proficient in written and spoken communication
- Strong organizational skills with attention to detail
How To Stand Out (Preferred Qualifications)
- Experience in a fast-paced healthcare environment
- Familiarity with medical management platforms and utilization review processes
- Strong problem-solving skills and ability to handle multiple tasks
- Knowledge of regulatory prerequisites and state standards for utilization review
- Advanced skills in Microsoft Office tools