LPN Care Coordinator (BHI)

🏢 Summary: Full-time LPN Care Coordinator role focused on reviewing patient charts, coordinating care, conducting assessments, and managing EMR records for senior and long-term care patients. The position includes collaboration with interdisciplinary teams to improve patient outcomes and reduce hospitalizations. 🗂️ Requirements: LPN license, 2+ years of acute care or managed care experience, Patient assessment proficiency, Vital signs monitoring proficiency, EMR management experience, Strong communication skills, Interdisciplinary collaboration skills 📃 Skills: LPN, EMR, Assessments, CaseManagement, Geriatrics, BehavioralHealth, VitalSigns 🏢 Description: About Infinite Medical P.C. Infinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. Our partnership with MedElite Healthcare Management Group empowers us to focus on what matters most: providing compassionate, personalized care that meets the unique needs of each resident. Job Summary We are seeking to hire a responsible, patient, and qualified Licensed Practical Nurse to assist with reviewing patient's charts. You will review patient records to ensure that information is accurate, and that records and documents accurately reflect the conditions and treatment requirements of each patient. Responsibilities - Conduct comprehensive assessments of patients' medical, social, and emotional needs - Provide case management services to ensure continuity of care and appropriate utilization of resources - Monitor and evaluate patient progress, adjusting care plans as needed - Collaborate with interdisciplinary teams to optimize patient outcomes - Oversee patient EMR to ensure that patients receive proper care - Complete reports to reduce patient gaps and hospitalizations Requirements - LPN license required - Minimum of 2 years of experience in acute care or managed care setting preferred - Proficient in conducting patient assessments and monitoring vital signs - Excellent communication and interpersonal skills to effectively collaborate with healthcare professionals - Experience with geriatric behavioral health preferred Benefits - Competitive salary: $30.75 an hour - $33.00 an hour - Health - Dental - Vision - 401K - Company-Sponsored Life Insurance - Paid Time Off Why Work With Us? - Make a meaningful impact on the lives of seniors - Work in a collaborative, mission-driven environment - Enjoy work-life balance Equal Opportunity Employer Infinite Medical P.C is an equal-opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. Infinite Medical P.C is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position.

🏢 Summary: Full-time in-office LPN Care Coordinator role focused on reviewing and auditing patient charts to ensure accurate documentation and compliance with clinical and operational guidelines. The position involves submitting review logs, coordinating corrections, responding to operational and clinical communications, and resolving system-related issues. The role uses multiple healthcare and administrative systems and offers competitive pay and benefits. 🗂️ Requirements: LPN certificate or degree, Ability to work full-time in-office, Experience reviewing and auditing patient records, Ability to submit clinical documentation and corrections, Ability to follow operational guidelines and color-coding systems, Ability to respond to HR, operational, and clinical correspondence, Ability to attend mandatory operational and educational meetings 📃 Skills: Emsow, PointClickCare, Gmail, Sigma, Matrix, Reliable, Visual 🏢 Description: LPN Care Coordinator Location: Hollywood, FL (In-Office) Schedule: Full-Time; 9:00 am - 5:30 pm Salary: $30.00 an hour - $35.00 an hour About Infinite Medical P.C. Infinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. Our partnership with MedElite Healthcare Management Group empowers us to focus on providing compassionate, personalized care that meets the unique needs of each resident. Job Summary We are seeking to hire a responsible, patient, and qualified Licensed Practical Nurse to assist with reviewing patient charts. You will review patient records to ensure that information is accurate and that records and documents accurately reflect the conditions and treatment requirements of each patient. Responsibilities - Review patient records to ensure that information is accurate - Submit Review Visit Logs (RVLs) to the supervisor - Adhere to the operational guidelines for color coding of patients - Respond to HR, operational, and clinical correspondences - Submit clinical corrections to the supervisor - Attend all operational and educational pod meetings as scheduled by the pod leader and submit the post-educational survey following these meetings - Promptly communicate with Operations to resolve any IT issues encountered - You will be cross-trained in other areas of care management System Used: Emsow, Point click care, Google Gmail, Sigma/Matrix, Reliable/Visual Requirements - LPN certificate/ degree - Ability to work full-time - Empathetic and active listener - Detailed oriented - Effective time management skills - Strong communication and interpersonal skills Benefits - Competitive salary: $30.00 an hour - $35.00 an hour - Health - Dental - Vision - Company-Sponsored Life Insurance - 401K - Paid Time Off Why Work With Us? - Make a meaningful impact on the lives of seniors - Work in a collaborative, mission-driven environment - Enjoy work-life balance Equal Opportunity Employer Infinite Medical P.C is an equal-opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. Infinite Medical P.C is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position.

🏢 Summary: Full-time in-office LPN Care Coordinator role focused on reviewing and auditing patient records in skilled nursing and long-term care settings to ensure accuracy and compliance. The position involves submitting clinical documentation updates, maintaining communication with operational teams, and working within multiple healthcare systems. Offers competitive hourly pay and comprehensive benefits. 🗂️ Requirements: LPN certificate or degree, Ability to work full-time in-office, Experience reviewing patient records, Ability to follow operational guidelines and documentation standards, Strong time management skills, Strong communication and interpersonal skills, Detail-oriented, Empathetic and active listening skills 📃 Skills: Emsow, PointClickCare, Gmail, Sigma, Matrix, Reliable, Visual, ClinicalDocumentation, MedicalRecords, CareManagement 🏢 Description: LPN Care Coordinator Location: Hollywood, FL (In-Office) Schedule: Full-Time Salary: $30.00 an hour- $35.00 an hour About Infinite Medical P.C. Infinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. Our partnership with MedElite Healthcare Management Group empowers us to focus on what matters most: providing compassionate, personalized care that meets the unique needs of each resident. Together, we champion continuous innovation and collaboration in our shared mission to redefine senior care across the country. Job Summary We are seeking to hire a responsible, patient, and qualified Licensed Practical Nurse to assist with reviewing patient charts. You will review patient records to ensure that information is accurate and that records and documents accurately reflect the conditions and treatment requirements of each patient. Responsibilities - Review patient records to ensure that information is accurate - Submit Review Visit Logs (RVLs) to the supervisor - Adhere to the operational guidelines for color coding of patients - Respond to HR, operational, and clinical correspondences - Submit clinical corrections to the supervisor - Attend all operational and educational pod meetings as scheduled by the pod leader and submit the post-educational survey following these meetings - Promptly communicate with Operations to resolve any IT issues encountered - You will be cross-trained in other areas of care management System Used: Emsow, Pointclickcare, Google Gmail, Sigma/Matrix, Reliable/Visual Requirements - LPN certificate/ degree - Ability to work full-time - Empathetic and active listener - Detailed oriented - Effective time management skills - Strong communication and interpersonal skills Benefits - Competitive salary: $30.00 an hour- $35.00 an hour - Health - Dental - Vision - Company-Sponsored Life Insurance - 401K - Paid Time Off Why Work With Us? - Make a meaningful impact on the lives of seniors - Work in a collaborative, mission-driven environment - Enjoy work-life balance Equal Opportunity Employer Infinite Medical P.C is an equal-opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. Infinite Medical P.C is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position.

🏢 Summary: Full-time in-office LPN/MA/CNA role focused on reviewing patient charts to ensure accurate documentation and compliance within skilled nursing and long-term care settings. The position involves submitting review logs, coordinating corrections, supporting operational processes, and working with multiple healthcare systems. Offers competitive hourly pay and comprehensive benefits. 🗂️ Requirements: LPN certificate/degree or MA/CNA certification, Full-time availability, Experience reviewing patient records, Ability to submit review logs and clinical corrections, Proficiency with healthcare documentation systems, Strong time management skills, Strong communication skills, Detail-oriented approach 📃 Skills: Emsow, PointClickCare, Gmail, Sigma, Matrix, Reliable, Visual, Documentation, Healthcare, IT 🏢 Description: Job Summary We are seeking to hire a responsible, patient, and qualified Licensed Practical Nurse (LPN), Medical Assistant (MA), or Certified Nursing Assistant (CNA) to assist with reviewing patient charts. You will review patient records to ensure that information is accurate and that records and documents accurately reflect the conditions and treatment requirements of each patient. Responsibilities - Review patient records to ensure that information is accurate - Submit Review Visit Logs (RVLs) to the supervisor - Adhere to the operational guidelines for color coding of patients - Respond to HR, operational, and clinical correspondences - Submit clinical corrections to the supervisor - Attend all operational and educational pod meetings as scheduled by the pod leader and submit the post-educational survey following these meetings - Promptly communicate with Operations to resolve any IT issues encountered - Cross-train in other areas of care management - System Used: Emsow, Pointclickcare, Google Gmail, Sigma/Matrix, Reliable/Visual Requirements - LPN certificate/degree, Medical Assistant certification, or Certified Nursing Assistant certification - Ability to work full-time - Empathetic and active listener - Detail-oriented - Effective time management skills - Strong communication and interpersonal skills Benefits - Competitive salary: $30.00 an hour - $35.00 an hour - Health - Dental - Vision - Company-Sponsored Life Insurance - 401K - Paid Time Off - $1,000 Sign-on Bonus

🏢 Summary: Full-time LPN Care Coordinator role focused on reviewing and validating patient records to ensure accurate documentation of conditions and treatments in a senior care setting. The position involves submitting review logs, coordinating clinical corrections, adhering to operational guidelines, and using multiple healthcare systems. Offers competitive hourly pay and comprehensive benefits. 🗂️ Requirements: LPN certificate or degree, Ability to work full-time, Experience reviewing patient records, Detail-oriented, Effective time management skills, Strong communication skills, Strong interpersonal skills 📃 Skills: Emsow, PointClickCare, Gmail, Sigma, Matrix, Reliable, Visual, EMR 🏢 Description: LPN Care Coordinator About Infinite Medical P.C. Infinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. Our partnership with MedElite Healthcare Management Group empowers us to focus on providing compassionate, personalized care that meets the unique needs of each resident. Job Summary We are seeking to hire a responsible, patient, and qualified Licensed Practical Nurse to assist with reviewing patient charts. You will review patient records to ensure that information is accurate and that records and documents accurately reflect the conditions and treatment requirements of each patient. Responsibilities - Review patient records to ensure that information is accurate - Submit Review Visit Logs (RVLs) to the supervisor - Adhere to the operational guidelines for color coding of patients - Respond to HR, operational, and clinical correspondences - Submit clinical corrections to the supervisor - Attend all operational and educational pod meetings as scheduled by the pod leader and submit the post-educational survey following these meetings - Promptly communicate with Operations to resolve any IT issues encountered - Cross-train in other areas of care management - Systems used: Emsow, Pointclickcare, Google Gmail, Sigma/Matrix, Reliable/Visual Requirements - LPN certificate/degree - Ability to work full-time - Empathetic and active listener - Detail oriented - Effective time management skills - Strong communication and interpersonal skills Benefits - Competitive salary: $30.00 an hour - $35.00 an hour - Health - Dental - Vision - Company-Sponsored Life Insurance - 401K - Paid Time Off Equal Opportunity Employer Infinite Medical P.C is an equal-opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. Infinite Medical P.C is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position.

🏢 Summary: Full-time in-office LPN CoCM Behavioral Health Care Manager role focused on chronic care management and behavioral health coordination in a long-term care setting. The position involves patient chart review, care planning, administering validated rating scales, and collaboration with clinical teams and psychiatric consultants. Offers comprehensive benefits and the opportunity to support seniors through integrated, team-based care. 🗂️ Requirements: LPN degree or certificate, Active LPN licensure, Experience in long-term care, Experience in behavioral health, Ability to administer validated rating scales, Care planning and care plan modification experience 📃 Skills: LPN, BehavioralHealth, CareManagement, ChronicCare, PatientAssessment, RatingScales, CarePlanning, PsychosocialInterventions, RegistryManagement, InterdisciplinaryCollaboration 🏢 Description: LPN CoCM Care Coordinator Location: Hollywood, FL (In Office) Schedule: Full-Time Salary per annum: $64,000 to $70,000 per year Job Summary We are seeking a dedicated LPN CoCM Behavioral Health Care Manager to join our team. In this role, you will be responsible for reviewing patient charts and communicating with the Clinical department and providers about any irregularities as part of chronic care management. Responsibilities Provide assessment and care management services, including: - Administration of validated rating scales. - Initiation of behavioral health care planning concerning behavioral or psychiatric health problems. - Revision and modification of care plans for patients not progressing or whose status changes. - Brief psychosocial interventions as needed. - Engage in ongoing collaboration with the billing practitioner. - Maintain the registry/tracking sheets. - Consult with the psychiatric consultant. - Maintain a continuous relationship with patients. - Foster collaborative, integrated relationships with the rest of the care team. - Conduct interdisciplinary care plan meetings to review patient beneficiaries. Requirements - LPN degree/ certificate required. - Experience in long-term care preferred. - Experience in behavioral health preferred. Benefits - Health - Dental - Vision - 401K - Company-Sponsored Life Insurance - Paid Time Off

🏢 Summary: Full-time in-office LPN CoCM Behavioral Health Care Manager role focused on chronic care management and behavioral health coordination. The position involves reviewing patient charts, administering validated rating scales, developing and revising care plans, and collaborating with providers and psychiatric consultants. Offers comprehensive benefits and the opportunity to support seniors through integrated, team-based care. 🗂️ Requirements: LPN degree or certificate, Experience in long-term care, Experience in behavioral health 📃 Skills: LPN, BehavioralHealth, CareManagement, ChronicCare, RatingScales, CarePlanning, PsychosocialInterventions, RegistryManagement, InterdisciplinaryCare 🏢 Description: Job Summary We are seeking a dedicated LPN CoCM Behavioral Health Care Manager to join our team. In this role, you will be responsible for reviewing patient charts and communicating with the Clinical department and providers about any irregularities as part of chronic care management. Responsibilities Provide assessment and care management services, including: - Administration of validated rating scales. - Initiation of behavioral health care planning concerning behavioral or psychiatric health problems. - Revision and modification of care plans for patients not progressing or whose status changes. - Brief psychosocial interventions as needed. - Engage in ongoing collaboration with the billing practitioner. - Maintain the registry/tracking sheets. - Consult with the psychiatric consultant. - Maintain a continuous relationship with patients. - Foster collaborative, integrated relationships with the rest of the care team. - Conduct interdisciplinary care plan meetings to review patient beneficiaries. Requirements - LPN degree/ certificate required. - Experience in long-term care preferred. - Experience in behavioral health preferred. Benefits - Health - Dental - Vision - 401K - Company-Sponsored Life Insurance - Paid Time Off

🏢 Summary: Full-time LPN CoCM Behavioral Health Care Manager role focused on chronic care management and behavioral health coordination in an office setting. The position involves reviewing patient charts, administering validated rating scales, developing and modifying care plans, and collaborating with clinical staff and psychiatric consultants. Candidates will manage patient registries, conduct interdisciplinary care meetings, and support integrated, team-based care for long-term care patients. 🗂️ Requirements: LPN degree or certificate, Experience in long-term care, Experience in behavioral health, Ability to administer validated rating scales, Ability to develop and modify behavioral health care plans, Ability to conduct psychosocial interventions, Ability to maintain patient registries and tracking sheets, Ability to collaborate with billing practitioners and psychiatric consultants 📃 Skills: LPN, BehavioralHealth, CareManagement, ChartReview, RatingScales, CarePlanning, PsychosocialInterventions, RegistryManagement, InterdisciplinaryCare, ChronicCareManagement 🏢 Description: Job Summary We are seeking a dedicated LPN CoCM Behavioral Health Care Manager to join our team. In this role, you will be responsible for reviewing patient charts and communicating with the Clinical department and providers about any irregularities as part of chronic care management. Responsibilities Provide assessment and care management services, including: - Administration of validated rating scales. - Initiation of behavioral health care planning concerning behavioral or psychiatric health problems. - Revision and modification of care plans for patients not progressing or whose status changes. - Brief psychosocial interventions as needed. - Engage in ongoing collaboration with the billing practitioner. - Maintain the registry/tracking sheets. - Consult with the psychiatric consultant. - Maintain a continuous relationship with patients. - Foster collaborative, integrated relationships with the rest of the care team. - Conduct interdisciplinary care plan meetings to review patient beneficiaries. Requirements - LPN degree/certificate required. - Experience in long-term care preferred. - Experience in behavioral health preferred. Benefits - Health - Dental - Vision - 401K - Company-Sponsored Life Insurance - Paid Time Off

🏢 Summary: Remote Registered Nurse role focused on pre- and post-payment medical reviews to ensure clinical compliance and reimbursement accuracy. The position involves evaluating medical necessity, reviewing complex claims and appeals, and documenting coverage determinations based on established guidelines. This full-time role requires strong clinical expertise, analytical skills, and experience in utilization or medical review environments. 🗂️ Requirements: Active, unrestricted RN license in the U.S. or compact multistate RN license, Associate Degree in Nursing or graduation from an accredited School of Nursing, Minimum 2 years of clinical experience, Minimum 2 years of experience in Home Health, Utilization/Medical Review, or Quality Assurance, Ability to interpret and apply medical review criteria and clinical guidelines, Proficiency in Microsoft Office and word processing software, Strong analytical and decision-making skills, Ability to work independently and manage priorities, Ability to handle confidential information 📃 Skills: MicrosoftOffice, ClinicalReview, UtilizationReview, MedicalReview, QualityAssurance, ClaimsReview, Preauthorization, Documentation, ManagedCare, HomeHealth 🏢 Description: About the Role We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team. This role involves conducting pre- and post-payment medical reviews to ensure compliance with established clinical criteria and guidelines. The ideal candidate will use their clinical expertise to assess medical necessity, appropriateness, and reimbursement eligibility while documenting decisions in accordance with regulatory and organizational requirements. Key Responsibilities - Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals. - Assess payment determinations using clinical information and established guidelines. - Evaluate medical necessity, appropriateness, and reasonableness for coverage and reimbursement. - Provide clear, well-documented rationales for service approvals or denials. - Educate internal and external teams on medical review processes, coverage determinations, and coding requirements. - Support quality control activities to meet corporate and team objectives. - Provide guidance to LPN team members and support non-clinical staff through training and discussions. - Assist with special projects and additional responsibilities as assigned. Minimum Qualifications Licensure: - Active, unrestricted RN license in the U.S. and in the state of hire OR - Active compact multistate RN license (as defined by the Nurse Licensure Compact). Education: - Associate Degree in Nursing OR - Graduate of an accredited School of Nursing. Experience: - Two years of clinical experience plus at least two years in one of the following: - Home Health - Utilization/Medical Review - Quality Assurance Skills & Competencies: - Strong clinical background in managed care, home health, rehabilitation, and/or medical-surgical settings. - Ability to interpret and apply medical review criteria and clinical guidelines. - Proficiency in Microsoft Office and word processing software. - Strong analytical, organizational, and decision-making skills. - Ability to work independently while managing priorities effectively. - Excellent customer service, communication, and critical thinking skills. - Ability to handle confidential information with discretion. Preferred Qualifications - Three years of clinical nursing experience in Home Health, Utilization Review, Medical Review, or Quality Assurance (strongly preferred). - Proficiency in using multiple screens and software programs simultaneously. Benefits - All necessary equipment provided, including desktop computer, dual monitors, headset, ethernet cable, and additional accessories as needed.

🏢 Summary: Full-time remote Registered Nurse position focused on conducting pre- and post-payment medical reviews to ensure compliance with clinical guidelines and reimbursement policies. The role involves assessing medical necessity, reviewing complex claims and appeals, and documenting determinations in accordance with regulatory standards. This position requires strong clinical expertise and experience in utilization or medical review environments. 🗂️ Requirements: Active unrestricted RN license (U.S. state of hire) or compact multistate RN license, Associate Degree in Nursing or graduation from accredited School of Nursing, Minimum 2 years of clinical experience, Minimum 2 years of experience in Home Health, Utilization/Medical Review, or Quality Assurance, Ability to interpret and apply medical review criteria and clinical guidelines, Proficiency in Microsoft Office and word processing software, Strong analytical and decision-making skills, Ability to work independently and manage priorities, Ability to handle confidential information 📃 Skills: Nursing, MedicalReview, UtilizationReview, QualityAssurance, ManagedCare, HomeHealth, Rehabilitation, MedicalSurgical, MicrosoftOffice, Documentation, ClaimsReview, Preauthorization, AppealsReview 🏢 Description: Job Type: Full-time (40 hours/week) Schedule: Monday–Friday, 8:00 AM – 5:00 PM Max Salary: W-2 ($60,000–$63,000) Location: Remote (U.S. – Work from home) Remote Work Requirements: High-speed internet (non-satellite) and a private, lockable home office. Equipment: You will be provided with all necessary equipment to perform your job effectively, including but not limited to a desktop computer, dual monitors, a headset, an ethernet cable, and additional accessories as needed. About the Role We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team. This role involves conducting pre- and post-payment medical reviews to ensure compliance with established clinical criteria and guidelines. The ideal candidate will use their clinical expertise to assess medical necessity, appropriiateness, and reimbursement eligibility while documenting decisions in accordance with regulatory and organizational requirements. Key Responsibilities - Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals. - Assess payment determinations using clinical information and established guidelines. - Evaluate medical necessity, appropriateness, and reasonableness for coverage and reimbursement. - Provide clear, well-documented rationales for service approvals or denials. - Educate internal and external teams on medical review processes, coverage determinations, and coding requirements. - Support quality control activities to meet corporate and team objectives. - Provide guidance to LPN team members and support non-clinical staff through training and discussions. - Assist with special projects and additional responsibilities as assigned. Minimum Qualifications Licensure: - Active, unrestricted RN license in the U.S. and in the state of hire OR - Active compact multistate RN license (as defined by the Nurse Licensure Compact). Education: - Associate Degree in Nursing OR - Graduate of an accredited School of Nursing. Experience: - Two years of clinical experience plus at least two years in one of the following: - Home Health - Utilization/Medical Review - Quality Assurance Skills & Competencies: - Strong clinical background in managed care, home health, rehabilitation, and/or medical-surgical settings. - Ability to interpret and apply medical review criteria and clinical guidelines. - Proficiency in Microsoft Office and word processing software. - Strong analytical, organizational, and decision-making skills. - Ability to work independently while managing priorities effectively. - Excellent customer service, communication, and critical thinking skills. - Ability to handle confidential information with discretion. Preferred Qualifications - Three years of clinical nursing experience in Home Health, Utilization Review, Medical Review, or Quality Assurance (strongly preferred). - Proficiency in using multiple screens and software programs simultaneously.