Remote Quality Assurance Jobs in Port Richey, FL

The LPN Clinical Coordinator plays a critical role in coordinating and managing medical and healthcare-related services for injured workers, partnering closely with patients, employers, providers, adjusters, and internal teams to support appropriate treatment plans and timely return-to-work outcomes. This role requires strong clinical judgment, organization, and communication skills, along with the ability to independently analyze medical information and collaborate across disciplines to drive quality, compliant case management.

This is a full-time, fully remote position, offering the opportunity to make a meaningful impact while working from home. The schedule for this role is Monday through Friday, 11:00 AM – 7:30 PM Eastern Time. Ideal candidates bring a nursing background, experience in workers’ compensation or related clinical settings, and a commitment to service excellence, ethical practice, and continuous improvement.

Responsibilities: 

• Support the Mission, Values and Vision of Paradigm, promoting positive public relation and demonstrating service excellence, respect for customers, coworkers, and management.
• Consistently maintain a high level of ethical and professional standards, continuously striving to improve healthcare services.
• Provide appropriate follow up with supervisor, co-workers, case managers, and providers regarding updates, reported complaints and concerns.
• Collaborate effectively with all departments through interdepartmental referrals and communication.
• Support and participate in common teamwork to achieve departmental and organizational goals, cooperating and working together with team as well as other internal and external partners.
• Actively participate in the QA process and departmental improvement efforts, identifying clinical areas for improvement
• Plan and complete job duties, organizing individual caseload to meet jurisdictional and Best Practice Standards for timeliness, notification, and documentation requirements.
• Independently approaches problem resolution by appropriate use of research and resources. Appropriately research, review, analyze and prepare medical information, document pertinent information in the case file notes, apply evidence based established guidelines to support case management interventions and facilitate the case management process, collaborating objectively with case managers, adjusters, and internal departments for case resolution.
• Utilize appropriate desktop resources to perform the case management process.
• Identify any concerns within the department and bring to the attention of the Clinical Nursing Supervisor and if needed, the Vice President of Operations.
• Identify quality assurance and risk management issues and bring to the attention of the appropriate management.
• Precept new staff within the department as requested. Assist with on-call duties on assigned weeknights or weekends and is compensated accordingly.
• Demonstrates a customer-first mindset by developing a broad and deep (where appropriate) understanding of Paradigm organization, products, operations, and customers. Prioritizes collaboration to meet customer needs and expectations and takes personal accountability for service quality.
• Maintain reliable and predictable attendance during scheduled work hours.

Qualifications: 

• Education/Training: Current LPN state licensure in good standing with the State Board of Nursing.
• Experience: Previous Work Comp Case Management experience with at least three (3) years hospital/clinical experience in Orthopedics, Neurology, Occupational Health, Med/Surg or other comparable clinical discipline.
• Knowledgeable of injured worker’s rights and ability to ensure an atmosphere which to promote the privacy, dignity, and well-being of injured workers.
• Maintain confidentiality of all data, including injured workers’ Protected Health Information (PHI), employee, and operations data.
• Skills: Excellent verbal and written communication, cooperation, service excellence, and effective conflict resolution skills; Able to promptly address concerns with tact and provide appropriate follow up; proficient reading, writing, grammar, and mathematics skills; strong knowledge of medical terminology; Excellent organizational, prioritization, and multi-tasking skills; Excellent computer skills (e.g., Outlook, Teams, to be trained on proprietary software).
• Comply with all regulatory requirements, current laws and policies which protect workers from harassment and all illegal and discriminatory behavior. Comply with applicable Quality Assurance initiatives.
• Complete requirements for required training, demonstrate acceptable attendance, and appropriate personal appearance. 
• Equipment/Machinery Used: Standard office equipment including phones, scanners, fax, laptop/PC, copiers, various computer programs, etc.