Clinical Quality Assurance Coordinator

Position: Clinical Quality Assurance Coordinator (33007)
Clinical Quality Assurance Coordinator (33007)# Clinical Quality Assurance Coordinator (33007)
Fully Remote   
• Norwood, MA 02062## Overview Salary Range $29.00 - $31.25 Hourly Position Type Full Time

Travel Percentage None## Description
** Ready for a Rewarding Career that Fits Your Lifestyle?
** Imagine a job where you can keep your
** clinical skills sharp**, tackle exciting challenges, AND work from the comfort of your own home. Sounds like the perfect mix, right?
** MES
* * is looking for a
** self-driven, high-performing RN or LPN
** to join our dynamic team as a
** Clinical Quality Assurance Coordinator**. In this role, you’ll ensure our
** Peer Review case reports
** are nothing short of exceptional—delivering top-notch quality and integrity, all while staying fully aligned with
** client agreements**,
** regulatory standards**, and
** state and federal mandates**.The position is
** 100% remote
** with a schedule of
** Monday through Friday:
*** 12:00am - 8:30pm EST
* occasional weekends and holidays
* Performs quality assurance review of peer review reports, correspondences, addendums or supplemental reviews.
* Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.
* Ensures that all client instructions and specifications have been followed and that all questions have been addressed.
* Ensures each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications.
* Ensures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.
* Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report.
* Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists.
* Ensures the provider credentials and signature are adhered to the final report.
* Identifies any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed.
* Assists in resolution of customer complaints and quality assurance issues as needed.
* Ensures all federal ERISA and/or state mandates are adhered to at all times.
* Provides insight and direction to management on consultant quality, availability and compliance with all 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.
* Perform other duties as assigned.

If you’re ready to make a real impact in healthcare, all while enjoying the flexibility of working remotely, we want to hear from you!## Qualifications
* Active RN/LPN nursing license required.
* Must be a graduate of an accredited nursing program or related medical experience; bachelor's degree preferred.
* A minimum of two years clinical or related field experience; or equivalent combination of education and experience.
* Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.
* Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals;
Ability to compute rates and percentages.
* Must be a qualified typist with a minimum of 40 W.P.M
* Must be able to operate a general computer, fax, copier, scanner, and telephone.
* Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
* Must possess excellent skills in…