Remote RN Or LPN

TEKsystemsDallas, TX
Remote

About The Position

We’re seeking a Clinical Quality Assurance Coordinator to join our dynamic team. In this pivotal role, you’ll ensure that our peer review reports meet the highest standards of quality, accuracy, and compliance with client contracts, regulatory guidelines, and federal/state mandates. This is a 3-4 month contract opportunity.

Requirements

  • 5+ years of RN or LPN experience
  • Bachelor's Degree in Nursing
  • A keen eye for detail and a commitment to excellence. This role requires heavy professional writing skills
  • Ability to work independently and collaboratively in a fast-paced environment.

Nice To Haves

  • Behavioral Health experience is a plus!

Responsibilities

  • Conduct thorough quality assurance reviews of peer review reports, correspondence, and supplemental materials.
  • Ensure all recommendations are evidence-based, clearly articulated, and supported by current clinical references.
  • Verify compliance with client instructions, state mandates, and federal ERISA regulations.
  • Confirm that appropriate board-certified specialists have reviewed each case.
  • Identify inconsistencies and collaborate with peer reviewers to resolve them.
  • Support the resolution of client complaints and quality concerns.
  • Provide insights to management on consultant performance and compliance.
  • Promote efficient use of company resources and uphold professional standards.
  • Participate in ongoing training and development opportunities.

Benefits

  • Medical, dental & vision
  • Critical Illness, Accident, and Hospital
  • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
  • Life Insurance (Voluntary Life & AD&D for the employee and dependents)
  • Short and long-term disability
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off/Leave (PTO, Vacation or Sick Leave)
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