Wisconsin Licensed Utilization Review Specialist

Konsus, Inc. (Superside); United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company is seeking a Utilization Review Specialist focused on quality assurance and process improvement in patient care. This remote role requires a Licensed Practical Nurse (LPN) with significant clinical experience in ensuring patient safety and compliance with care standards.

Qualifications

• Graduate from an accredited practical nursing program as a Licensed Practical Nurse (LPN).
• Five years of experience in a clinical setting, with preference for utilization or CPT/ICD knowledge.
• Currently holds an unencumbered LPN license with State Nursing board.

Responsibilities

• Provide quality assurance of medical care and perform quality control related to patient treatment.
• Ensure clinical roles are adequately provided for patients' comfort, health, and safety.
• Analyze current environments and synthesize information for process improvement.

Skills

Quality management

Process improvement

HIPAA knowledge

Education

Licensed Practical Nurse (LPN)

Job description

A company is looking for a Utilization Review Specialist (Remote Option in Wisconsin).

Key Responsibilities

• Provide quality assurance of medical care and perform quality control related to patient treatment
• Ensure clinical roles are adequately provided for patients' comfort, health, and safety
• Analyze current environments and synthesize information for process improvement

Required Qualifications, Training, and Education

• Graduate from an accredited practical nursing program as a Licensed Practical Nurse (LPN)
• Five years of experience in a clinical setting, with preference for utilization or CPT/ICD knowledge
• Currently holds an unencumbered LPN license with State Nursing board or possesses multi-state licensure privileges
• Knowledge of quality management methods and ability to support an environment that meets quality goals
• Understanding of the Health Insurance Portability and Accountability Act (HIPAA) and its implications for patient care