Remote Registered Nurse - $29/hr

TEKsystems•Orlando, FL

1d•$24 - $29•Remote

About The Position

Network Medical Review Company is seeking an entry-level Clinical Quality Assurance Specialist to support the Quality Assurance Department in ensuring the accuracy, integrity, and compliance of clinical peer review reports. This role is ideal for candidates with clinical documentation experience (RN or LPN preferred) who excel in professional writing, attention to detail, and deadline-driven work.

Requirements

RN or LPN background with strong clinical documentation experience
Hospital experience (med-surg or ortho preferred)
Professional writing skills
Ability to meet strict deadlines

Nice To Haves

Strong independence and reliability
Prior quality assurance experience in healthcare settings

Responsibilities

Perform quality assurance reviews of peer review reports, correspondence, addendums, and supplemental reviews.
Validate clear, concise, evidence-based rationales supporting all recommendations and determinations.
Ensure all client instructions, specifications, and required questions are fully addressed.
Confirm clinical citations and references are current, reputable, and properly included.
Maintain high standards for report content, formatting, and professional presentation.
Verify correct board specialty involvement per client or state requirements.
Ensure reviewer attestation accuracy and absence of conflict of interest.
Confirm provider credentials and signatures are properly applied.
Identify inconsistencies and collaborate with Peer Reviewers for clarification or corrections.
Support resolution of client complaints and quality assurance issues.
Ensure compliance with federal ERISA and state mandates.
Provide feedback to management regarding consultant quality and compliance.
Participate in training and educational activities as required.
Perform additional duties as assigned.