Quality Assurance Licensed Practical Nurse

2 weeks ago


Minneapolis, Minnesota, United States Adecco US, Inc. Full time


Adecco US, Inc. is seeking a Remote/Work From Home
Quality Assurance Licensed Practical Nurse. Candidates must hold a valid LPN license in California to be considered for this role.


Position Details:
Type: Five-month contract with potential for extension or full-time employment
Schedule: Monday to Friday, 8 AM to 4:30 PM
Compensation: $34.85 per hour


Key Responsibilities:

  • Ensure adherence to regulatory standards and health plan requirements for PQI processes and grievance turnaround times.
  • Support the development, testing, and initial rollout of a new unified Quality Improvement database for the California market.
  • Collaborate with Quality Improvement Coordinators and Physician Reviewers to facilitate timely PQI assessments and grievance resolutions.
  • Conduct reviews of grievances and PQI cases.
  • Examine relevant medical documentation.
  • Draft inquiries and oversee investigations of cases.
  • Compose professional correspondence and ensure timely responses to health plans.
  • Create case chronologies and discuss findings with physician reviewers.
  • Prepare cases for secondary reviews and Peer Review meetings.
  • Maintain the case investigation and closure workflow within the Quality Improvement database.

Qualifications:

  • Active LPN license in California.
  • Proficiency in Excel and Word is required.
  • Ability to draft professional letters and organize case data effectively.
  • Experience in quality improvement or grievance investigations is preferred.

Why Choose Adecco?

  • Weekly Pay
  • 401(k) Plan
  • Skills Development Opportunities
  • Comprehensive medical, dental, and vision benefits

Our benefits package includes options for medical, dental, vision, life insurance, short-term disability, and additional voluntary benefits. Employees can select coverage that aligns with their individual needs. Paid leave may include Sick Leave as mandated by law, along with other paid leave as required by Federal, State, or local regulations.

Important Notice:
This Quality Assurance Licensed Practical Nurse position is being recruited by Adecco's Healthcare & Life Sciences division, not by a local Adecco Branch Office. Adecco is an Equal Opportunity Employer/Veterans/Disabled.



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