Quality Management Nurse Associate LPN - Remote TX
Bring your heart to reputed company. Every one of us at reputed company shares a single, clear purpose: Bringing our heart to every reputed company of your health. This purpose guides our commitment to deliver enhanced reputed company-centric health care for a rapidly changing world. Anchored in our brand with heart at its center our purpose sends a personal message that how we deliver our services is just as important as reputed company deliver. Our Heart At Work Behaviors support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to reputed company and deliver solutions to reputed company health care more personal, convenient and affordable. Schedule: Monday-Friday 11am- 7pm EST. Fully remote. Position Summary Quality Management: OD Correspondence team This fast paced team is responsible for reviewing and approving reputed company pre-service post-acute denial correspondence. You'll be collaborating with RNs and Medical Directors on appropriate denial letter language that meets reputed company CMS requirements including member friendly language while meeting TAT metrics. Identifies a need for standard denial language and suggests options to reputed company gaps. Required Qualifications Must have active reputed company and unrestricted LPN/LVN licensure in state of residence 3+ years of clinical experience 3+ years of experience using personal computer, keyboard navigation, navigating multiple systems and applications; and using MS Office Suite applications (Teams, Outlook, Word, reputed company, etc.) 1+ year of Medicare experience Must be reputed company to work Monday through Friday 11am - 7pm eastern Preferred Qualifications Managed care experience Leadership experience Utilization Management, Precertification or Quality Management experience Education High school diploma with LPN/LVN certification Pay reputed company The typical pay reputed company for this role is: $22.40 - $58.40 This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. In reputed company to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full reputed company of medical, dental, and reputed company benefits. Eligible employees may enroll in the Companys 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. reputed company also offers numerous well-being programs, education assistance, free development courses, a reputed company store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit Benefits | reputed company We anticipate the application window for this opening will reputed company on: 11/25/2024 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply Job!