Job description
Pinnacle Method Consulting's mission is to help job seekers reach their career peak by accessing top-tier opportunities. We are not a staffing firm or agency. Pinnacle Method does not hire for these roles—we systematically source and verify them from premier employers.
Employer Industry: Healthcare Services
Why Consider This Job Opportunity
Salary up to $70,000
Comprehensive benefits package including health, dental, and vision coverage for employees and their families
Opportunities for performance bonuses and retirement plans
Generous paid time off policy to ensure work-life balance
Support for remote work with provided Apple equipment and media stipend
Fast-paced, high-performance culture with opportunities for professional growth
Responsibilities
- Conduct assessments of medical services to validate their appropriateness using established criteria and guidelines
Examine and evaluate patient records to verify the quality of care and necessity of services provided
Offer clinical expertise and serve as a reference for non-clinical staff
Input and manage essential clinical details within various medical management platforms
Communicate effectively with management teams, physicians, and the Medical Director to foster high-quality patient care
Requirements
- What Is Required (Qualifications): Unrestricted LVN/RN license from an accredited program
Minimum of 2 years of clinical nursing experience
At least 1 year of previous experience in Utilization Management
Proficient in written and spoken communication
Strong organizational skills with attention to detail
How To Stand Out (Preferred Qualifications): Experience in a fast-paced healthcare environment
Familiarity with medical management platforms and utilization review processes
Strong problem-solving skills and ability to handle multiple tasks
Knowledge of regulatory prerequisites and state standards for utilization review
Advanced skills in Microsoft Office tools
About Pinnacle Method Consulting
Pinnacle Method Consulting stands at the summit of specialized business transformation. We've mapped the paths to operational excellence, and we guide organizations through proven methodologies that guarantee results. Our consultants are sherpas of change management, Agile implementation, and process optimization. We don't believe in one-size-fits-all—we customize our ascent strategy for each client, but the destination remains the same: the peak of your industry.
