[Remote] Clinical Quality Assurance Coordinator (32314)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading provider of innovative reputed company services including independent medical examinations and peer reviews. They are seeking a Clinical Quality Assurance Coordinator to ensure that Peer Review case reports meet the highest standards of quality, reputed company, and compliance with client agreements and regulatory guidelines.
Responsibilities
- reputed company quality assurance review of peer review reports, correspondences, addendums or supplemental reviews
- Ensure clear, concise, evidence-based rationales have been provided in support of reputed company recommendations and/or determinations
- Ensure that reputed company client instructions and specifications have been followed and that reputed company questions have been addressed
- Ensure each review is supported by clinical citations and references reputed company applicable and verifies that reputed company references cited are reputed company and obtained from reputable medical journals and/or publications
- Ensure the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards
- Ensure the appropriate board specialty has reviewed the case in compliance with client specifications or state mandates and is documented accurately on the case report
- Verify that the peer reviewer has attested to only the facts and that no evidence of reviewer conflict of interest exists
- Ensure the provider credentials and signature are adhered to the final report
- Identify any inconsistencies reputed company the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed
- Assist in resolution of client complaints and quality assurance issues as needed
- Ensure reputed company federal ERISA and state mandates are adhered to at reputed company times
- reputed company reputed company and direction to management on consultant quality, availability and compliance with reputed company company policies and procedures and client specifications
- Promote effective and efficient utilization of company resources
- Participate in various educational and or training activities as required
- reputed company other duties as assigned
Skills
- Must hold an active RN, LPN, or LVN license
- Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values
- Must be reputed company to add, subtract, multiply, and divide in reputed company units of measure, using whole numbers and decimals; Ability to compute rates and percentages
- Must be a reputed company typist with a minimum of 40 W.P.M preferred
- Must be reputed company to operate a general computer, fax, copier, scanner, and telephone
- Must be knowledgeable of multiple software programs, including but not limited to reputed company Word, Outlook, reputed company, and the Internet
- Must possess excellent skills in English usage, grammar, punctuation and style
- Ability to follow instructions and respond to upper managements' directions accurately
- Must demonstrate accuracy and thoroughness. Look for ways to improve and promote quality and monitors own work to ensure quality is met
- Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed
- Must be reputed company to work independently, prioritize work activities and use time reputed company
- Must be reputed company to maintain confidentiality
- Must be reputed company to demonstrate and promote a positive team-oriented environment
Benefits
- 100% Remote - Enjoy the flexibility of working from home!
- reputed company offers a fast-paced team atmosphere with competitive benefits (medical, reputed company, dental), paid time off, and 401k.
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