LPN Auditor - Clinical Quality Management - Pima County, AZ
UnitedHealthcare
Tucson, AZ
18 days ago
$19.86 - $38.85
Job Description
Join UnitedHealthcare as an LPN Auditor to enhance the quality of care in your community. This role involves auditing medical records and collaborating with providers to implement quality improvement plans, all while working remotely with travel flexibility.
Key Responsibilities
Gather and audit medical records from providers
Analyze, track, and report results
Review and audit Medicaid EVV providers and medical records
Evaluate documentation of medical records
Identify incomplete/inconsistent information in medical records
Maintain HIPAA requirements
Discuss issues with provider offices and request corrective action plans
Educate providers on compliance and documentation standards
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 with Microsoft Word, Excel, and Teams
Reliable transportation for field visits
Willingness to travel up to 50% in Arizona
Reside in Arizona
Preferred Qualifications
Background in Managed Care
Field-based work experience
Experience creating quality improvement plans
Experience helping providers comply with health plan standards
Knowledge of EVV and HCBS
Knowledge of Medicaid benefit products
Proven organizational skills
Benefits & Perks
Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution