Clinical Quality Management LPN Auditor

3 weeks ago


Phoenix, Arizona, United States UnitedHealth Group Full time
LPN Auditor - Clinical Quality Management

At UnitedHealth Group, we're committed to simplifying the healthcare experience and creating healthier communities. As an LPN Auditor in Clinical Quality Management, you'll play a vital role in ensuring the quality of care provided to our members.

Key Responsibilities:
  • Review and audit Medicaid (AHCCCS) Electronic Visit Verification (EVV) providers and medical records regarding AHCCCS AMPM requirements around EVV
  • Review, audit, and evaluate documentation of medical records
  • Identify incomplete or inconsistent information in medical records and label missing measures/metrics/concerns
  • Review relevant tool specifications to guide chart review
  • Verify necessary documentation is included in medical records
  • Maintain HIPAA requirements for sharing minimum necessary information
  • Based on review of clinical data/documentation, identify potential quality of care issues and potential fraud/waste/abuse
  • Refer issues identified to relevant parties for further review/action
  • Discuss with provider offices to address and request corrective action plans
  • Educate provider representatives/office staff to address/improve auditing processes
  • Explain/convey technical specifications regarding action plans/follow up
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

We offer a comprehensive benefits package, including paid time off, medical plan options, and education reimbursement. If you're passionate about improving healthcare quality and have a strong background in clinical quality management, we encourage you to apply for this exciting opportunity.



  • Phoenix, Arizona, United States UnitedHealth Group Full time

    LPN Auditor Clinical Quality Management Job DescriptionAt UnitedHealth Group, we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable,...

  • LPN Auditor

    5 days ago


    Phoenix, Arizona, United States UnitedHealth Group Full time

    Job Title: LPN AuditorAt UnitedHealth Group, we're simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. We're seeking a skilled LPN Auditor to join our team in Clinical Quality Management.Job Summary:The LPN Auditor will be responsible for gathering and auditing medical records from contacted medical...

  • LPN Auditor

    3 weeks ago


    Phoenix, Arizona, United States UnitedHealth Group Full time

    Job Title: LPN AuditorAt UnitedHealth Group Inc., we're simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the healthcare system of tomorrow, making it more responsive, affordable, and equitable.Job Summary:This...

  • Night Auditor

    2 weeks ago


    Phoenix, Arizona, United States Arbor Lodging Management Full time

    Job Title: Night AuditorJob Summary:The Night Auditor is a critical role in our hotel operations, responsible for ensuring the accuracy and integrity of our financial records. As a Night Auditor, you will be responsible for performing overnight audits, reconciling accounts, and preparing financial reports for management.Key Responsibilities:Conduct nightly...

  • Night Auditor

    1 day ago


    Phoenix, Arizona, United States Arbor Lodging Management Full time

    Job Title: Night AuditorJob Summary:The Night Auditor is a critical role in our hotel operations, responsible for ensuring the accuracy and integrity of our financial records. As a Night Auditor, you will be responsible for performing overnight audits, reconciling accounts, and preparing financial reports for management.Key Responsibilities:Conduct nightly...

  • Night Auditor

    2 days ago


    Phoenix, Arizona, United States Crestview Management, LLC Full time

    Night Auditor Job DescriptionThe Marriott Phoenix Airport is seeking a highly skilled Night Auditor to join their team. As a Night Auditor, you will play a critical role in ensuring the accuracy and integrity of the hotel's financial records.Key Responsibilities:Verify and reconcile front office accounting records to ensure accuracy and completeness.Prepare...

  • Night Auditor

    4 weeks ago


    Phoenix, Arizona, United States Crestview Management, LLC Full time

    {"title": "Night Auditor", "description": "Job SummaryCrestview Management, LLC is seeking a Night Auditor to join our team. The successful candidate will be responsible for ensuring the accuracy of front office accounting records, summarizing and compiling financial information, and tracking room revenue and occupancy percentages.Key ResponsibilitiesPost...

  • Internal Auditor

    3 weeks ago


    Phoenix, Arizona, United States NetApp Full time

    About the RoleWe are seeking a highly skilled Internal Auditor to join our team at NetApp. As an Internal Auditor, you will be responsible for planning, preparing, and executing global statutory audits, as well as providing management financial accountancy services to the management.Key ResponsibilitiesDeliver high-quality audit services to a group of...


  • Phoenix, Arizona, United States Skills Alliance Full time

    Medical Device Auditor Job DescriptionSkills Alliance is seeking a highly skilled Medical Device Auditor to join our team in the North America region. As a Medical Device Auditor, you will play a key role in ensuring the compliance of our clients with regulatory requirements.Key Responsibilities:Perform regulatory audits of clients, including evaluations of...

  • Auditor

    4 weeks ago


    Phoenix, Arizona, United States Western Alliance Bank Full time

    About the Role:We are seeking a highly motivated and detail-oriented Auditor to join our team at Western Alliance Bank. As an Auditor, you will play a critical role in assessing the design and operational effectiveness of controls within our organization. Your primary responsibilities will include preparing for and attending process walkthrough meetings,...


  • Phoenix, Arizona, United States Banner Health Full time

    Job SummaryWe are seeking a highly skilled Registered Nurse Auditor to join our team at Banner Health. As a Clinical Compliance Specialist, you will play a vital role in ensuring the accuracy and integrity of our medical records and compliance with regulatory requirements.Key ResponsibilitiesConduct thorough audits of medical records to ensure compliance...

  • Night Auditor

    4 weeks ago


    Phoenix, Arizona, United States Crowne Plaza Phoenix Airport Full time

    Job Title: Night AuditorAt Crowne Plaza Phoenix Airport, we are seeking a detail-oriented and organized Night Auditor to join our team. As a Night Auditor, you will play a critical role in ensuring the accuracy and integrity of our financial records.Key Responsibilities:Reconcile all hotel cashier transactions to ensure accuracy and completeness.Review and...

  • Night Auditor

    3 weeks ago


    Phoenix, Arizona, United States Hilton Phoenix Airport Full time

    Job Title: Night AuditorHilton Phoenix Airport is seeking a detail-oriented and organized Night Auditor to join our team. As a Night Auditor, you will be responsible for reconciling all hotel cashier transactions, reviewing and compiling management reports, and ensuring the accuracy of guest billings and city ledger transactions.Key...

  • Night Auditor

    4 weeks ago


    Phoenix, Arizona, United States Highgate Hotels Full time

    Job Title: Night AuditorJob Summary:The Night Auditor is a critical role within our hotel operations, responsible for ensuring the accuracy and integrity of our financial transactions. This position requires a detail-oriented individual with strong analytical skills and the ability to work independently in a fast-paced environment.Key...

  • Night Auditor

    4 weeks ago


    Phoenix, Arizona, United States Hilton Phoenix Airport Full time

    Job Title: Night AuditorLocation: Hilton Phoenix AirportJob Summary:The Night Auditor is a critical role within our hotel operations, responsible for ensuring the accuracy and integrity of our financial transactions. This position requires a detail-oriented individual with strong analytical skills and the ability to work effectively in a fast-paced...

  • Auditor 4

    2 days ago


    Phoenix, Arizona, United States Arizona Official Website of State of Arizona Full time

    Job Summary:We are seeking a highly motivated and experienced Auditor 4 to join our team at the Arizona Department of Economic Security. As an Auditor 4, you will be responsible for conducting performance and compliance audits of DES programs, units, and processes published in the annual internal audit plan. You will assess risks and internal controls by...

  • Night Auditor

    2 weeks ago


    Phoenix, Arizona, United States Palette Hotels Full time

    Job Title: Night AuditorAt Palette Hotels, we are seeking a skilled Night Auditor to join our team. As a Night Auditor, you will be responsible for ensuring the smooth operation of our hotel's front desk during the night shift.Key Responsibilities:Guest Services: Provide exceptional customer service to our guests, responding to their needs and requests in a...

  • Internal Auditor

    1 week ago


    Phoenix, Arizona, United States Jobot Full time

    Job Title: Internal AuditorWe are seeking a highly skilled Internal Auditor to join our dynamic team. As an Internal Auditor, you will play a pivotal role in maintaining our company's financial health by conducting regular internal audits to assess the effectiveness of internal controls, accuracy of financial records, and efficiency of...

  • Night Auditor

    3 weeks ago


    Phoenix, Arizona, United States Springhill Phoenix Full time

    Job SummaryThe Night Auditor is a critical role in our hotel's operations, responsible for ensuring the accuracy and integrity of our financial records. As a Night Auditor, you will be the first point of contact for guests and associates during the overnight shift, providing exceptional customer service and ensuring a smooth transition of duties to the...

  • Airport Auditor

    4 weeks ago


    Phoenix, Arizona, United States Ace Parking Full time

    About UsAce Parking is a leading parking management expert with over 72+ years of experience. Our company values are built on a strong foundation of respect, courtesy, and a deep commitment to community. We strive to provide exceptional service to our clients, partners, and team members.The PositionWe are seeking a detail-oriented and organized Auditor to...