LPN Auditor - Clinical Quality Management - Pima County, AZ
UnitedHealthcare
Tucson, AZ
16 days ago
$19.86 - $38.85
Job Description
Join UnitedHealthcare as an LPN Auditor where you'll audit and analyze medical records to improve quality care. This role offers flexibility with remote work and travel opportunities within Arizona, impacting millions positively.
Key Responsibilities
Review and audit Medicaid providers and medical records
Analyze and track clinical documentation
Identify quality of care issues and recommend corrective actions
Educate providers on documentation and compliance
Conduct on-site visits throughout Arizona
Maintain HIPAA compliance
Required Qualifications
High School Diploma/GED (or higher)
Active and unrestricted LPN license in Arizona
3+ years of experience in the Medicaid health field
2+ years of experience reviewing medical record charts/documentation
Intermediate proficiency in Microsoft Word, Excel, and Teams
Reliable transportation for field visits
Ability to travel up to 50%
Reside in Arizona
Preferred Qualifications
Background in Managed Care
Field-based work experience
Experience creating quality improvement plans
Experience helping providers with health plan compliance
Knowledge of EVV and HCBS
Knowledge of Medicaid benefit products
Proven organizational skills
Benefits & Perks
Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution