Clinical RN Or LPN - Remote
TEKsystems•Berwyn, IL
•$27 - $31•Remote
About The Position
The Clinical Quality Assurance Coordinator ensures that case reports meet high standards of quality and integrity and comply with client contractual agreements, regulatory agency standards, and federal and state mandates. The position handles quality assurance questions and supports the Quality Assurance Department. It is a remote contract-to-hire position based out of Chicago, Illinois.
Requirements
- Must be a registered nurse (RN) or licensed practical nurse (LPN).
- Strong communication skills for interacting with reviewers, internal teams, and other stakeholders when clarification or corrections are needed.
- Comfort working in a contract-to-hire arrangement with potential for long-term engagement.
Nice To Haves
- Background in healthcare quality, compliance, or utilization review.
- Experience working with peer reviewers or clinical consultants in a quality assurance or review capacity.
- Familiarity with ERISA and state regulatory mandates related to clinical reviews and documentation.
Responsibilities
- Perform quality assurance reviews of peer review reports, correspondence, addendums, and supplemental reviews.
- Ensure recommendations and determinations are supported by clear, concise, evidence-based rationales.
- Confirm that client instructions and specifications have been followed and all questions addressed.
- Verify that reviews include clinical citations and references when applicable, and that references are current and from reputable medical journals or publications.
- Ensure reports meet company standards for content, format, and professional appearance.
- Confirm that the appropriate board specialty reviewed each case in accordance with client specifications or state mandates, and that this is documented accurately in the case report.
- Identify report inconsistencies and contact peer reviewers to obtain clarification, modification, or correction as needed.
- Handle quality assurance questions and provide support to the Quality Assurance Department.
Benefits
- Medical insurance, if eligible.
- Dental insurance, if eligible.
- Vision insurance, if eligible.
- Critical illness, accident, and hospital coverage, if eligible.
- 401(k) retirement plan with pre-tax and Roth post-tax contribution options, if eligible.
- Voluntary life and AD&D insurance for employees and dependents, if eligible.
- Short- and long-term disability coverage, if eligible.
- Health Spending Account (HSA), if eligible.
- Transportation benefits, if eligible.
- Employee Assistance Program, if eligible.
- Time off or leave, such as PTO, vacation, or sick leave, if eligible.
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What This Job Offers
Education Level
No Education Listed
