Remote Quality Analyst (Remote, LPN Required)
Job Overview
- Clinical License LPN
- State(s) Nationwide
About the job
Pinnacle Method Consulting’s mission is to help job seekers reach their career peak by accessing top-tier opportunities. We are not a staffing firm or agency. Pinnacle Method does not hire for these roles—we systematically source and verify them from premier employers.
Employer Industry: Healthcare Services
Why Consider This Job Opportunity
- Salary up to $70,000
- Comprehensive benefits package including health, dental, and vision coverage for employees and their families
- Opportunities for performance bonuses and retirement plans
- Generous paid time off policy to ensure work-life balance
- Support for remote work with provided Apple equipment and media stipend
- 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
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#PinnacleMethodConsulting
