Registered Nurse - Remote $28.50/hr

TEKsystems • Orlando, FL

18d • $27 - $29 • Remote

About The Position

The Clinical Quality Assurance Nurse ensures case reports meet the highest standards of quality and integrity and comply with client agreements, regulatory agency standards, and federal and state requirements. The role reviews peer-review documentation, supports the Quality Assurance Department, and helps address quality questions and client complaints. This is a fully remote contract-to-hire position based out of Orlando, Florida. The regular schedule after training is Monday through Friday, 11:30 a.m.–8:00 p.m. EST. Training lasts 4–6 weeks and runs Monday through Friday, 9:00 a.m.–5:30 p.m. EST. Pay is non-negotiable at $28.50 per hour for Registered Nurses and $26.50 per hour for LPNs/LVNs.

Requirements

• Strong knowledge of medical terminology, anatomy and physiology, medications, and laboratory values.
• Qualified typing ability of at least 40 words per minute.
• Full understanding of HIPAA regulations and compliance.
• Ability to operate a computer, fax machine, copier, scanner, and telephone.
• Knowledge of software including Microsoft Word, Outlook, Excel, and the Internet.
• Exceptional communication skills.
• Ability to follow instructions and accurately respond to management directions.
• Accuracy and thoroughness, with the ability to monitor one's work and promote quality improvement.
• Ability to work independently, prioritize activities, and use time efficiently.
• Ability to maintain confidentiality.
• Ability to support and promote a positive, team-oriented environment.
• Ability to concentrate amid normal or heavy distractions.
• Ability to work under pressure or stressful conditions.
• Ability to manage change, delays, and unexpected events appropriately.
• Ability to follow company policies and procedures, including those that may be updated or added.

Responsibilities

• Review peer-review reports, correspondence, addendums, and supplemental reviews for quality assurance.
• Ensure recommendations and determinations are supported by clear, concise, evidence-based rationales.
• Check that client instructions and specifications have been followed and all questions have been addressed.
• Confirm that reviews include appropriate clinical citations and references, and that cited sources are current and reputable when applicable.
• Ensure reports meet company standards for content, format, and professional appearance.
• Confirm the case was reviewed by the appropriate board specialty in accordance with client specifications or state mandates, and that this is accurately documented.
• Verify that peer reviewers attest only to facts and that no reviewer conflict of interest is evident.
• Ensure provider credentials and signatures are included in final reports.
• Identify report inconsistencies and contact peer reviewers for clarification, modification, or correction as needed.
• Assist with resolving client complaints and quality assurance issues.
• Ensure compliance with federal ERISA requirements and state mandates.
• Provide management with insight and direction regarding consultant quality, availability, and compliance with company policies and client specifications.
• Promote effective and efficient use of company resources.
• Participate in required educational and training activities.
• Perform other duties as assigned.

Benefits

• Medical, dental, and vision coverage, if eligible.
• Critical illness, accident, and hospital coverage, if eligible.
• 401(k) retirement plan with pre-tax and Roth post-tax contributions, 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, including PTO, vacation, or sick leave, if eligible.

What This Job Offers

• Education Level: No Education Listed