LPN - 100% Remote

TEKsystems•Nashville, TN

1d•$24 - $29•Remote

About The Position

We are seeking a detail-oriented Registered Nurse (RN) or Licensed Practical Nurse (LPN) to join our Clinical Quality Assurance team. This role involves reviewing patient visits, validating clinical accuracy, assessing compliance, and reporting findings to clients.

Requirements

Active RN or LPN license
Excellent attention to detail and critical-thinking skills.

Responsibilities

Service Verification — Review completed patient visits to confirm the correct surgeons, specialties, and insurance (including State Insurance) were used and properly documented.
Clinical Accuracy Review — Validate that the services provided match exactly what the client requested—no more, no less—and ensure each service meets policy criteria and medical necessity.
Compliance Assessment — Determine whether the services align with required guidelines, criteria, and documentation standards.
Client Reporting — Compile findings into clear, grammatically accurate reports that explain the clinical reasoning and outcomes.
Client Communication — Provide updates to clients via phone and email, ensuring clarity, professionalism, and timely follow‑through.
Time Management — Manage quick‑turnaround cases and prioritize workload effectively to meet deadlines.