Quality Analyst (Remote, LPN Required)

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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