Clinical Quality Management LPN Auditor

2 weeks ago


Phoenix, Arizona, United States UnitedHealth Group Full time
Job Summary

UnitedHealth Group is seeking a skilled LPN Auditor to join our Clinical Quality Management team. As a key member of our team, you will be responsible for reviewing and auditing medical records to ensure compliance with Medicaid regulations. Your expertise in clinical quality management and medical record review will be instrumental in identifying areas for improvement and developing corrective action plans.

Key Responsibilities
  • Review and audit medical records to ensure compliance with Medicaid regulations
  • Identify areas for improvement and develop corrective action plans
  • Collaborate with healthcare providers to implement quality improvement initiatives
  • Conduct on-site visits to review medical records and provide feedback to providers
  • Develop and maintain relationships with healthcare providers to ensure compliance with Medicaid regulations
Requirements
  • Active and unrestricted LPN license in the state of Arizona
  • 3+ years of experience in the Medicaid health field, including provider interactions
  • 2+ years of experience reviewing medical record charts/documentation and writing regulatory reports
  • Intermediate level of proficiency with software applications, including Microsoft Word, Excel, and Teams
  • Reliable transportation for field visits
  • Ability to travel 50% for the position throughout Arizona when business requires
What We Offer
  • Competitive base pay
  • A full and comprehensive benefit program
  • Performance rewards
  • A management team that demonstrates commitment to your success
About UnitedHealth Group

UnitedHealth Group is a leading health insurance and health services company that is committed to helping people live healthier lives and making the health system work better for everyone. We believe that everyone deserves the opportunity to live their healthiest life, regardless of their background or circumstances.



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