Quality Assurance Reviewer

Grapefruit Health•Chicago, IL

4d•$27•Remote

About The Position

Grapefruit Health is a healthcare services company on a mission to solve the growing staffing shortage in healthcare by putting tomorrow's clinicians to work today. We train and manage clinical students to conduct remote, telephonic patient interactions using our purpose-built software. The result: patients receive timely support, healthcare organizations extend their capacity, and you gain real clinical experience before you graduate.

Requirements

Ability to meet multiple deadlines
Strong written and verbal communication skills
Strong quantitative, qualitative, and analytical skills including technical proficiency
Must be able to work autonomously (with minimal direction) while also being part of an integrated team
Healthcare back
Confidence and fluency in patient communication
Familiarity with a real clinical software used in professional settings
Must be able to work up to 20 hours per week
Strong related clinical knowledge
U.S. based required
Must have a healthcare background: nursing, pharmacy, social work, medical assisting, dietitians, CNA, pharmacy or similar
Must have a compatible computer and cell phone with SMS
Must be able to work at least 20 hours/week
A quiet, private workspace free of background noise or distractions
Strong verbal communication skills, or a genuine desire to develop them
Comfort working independently in a remote environment
Reliable availability for a minimum of 10 hours per week

Nice To Haves

The satisfaction of genuinely improving patient outcomes

Responsibilities

Complete monthly claim review using clinical judgment and established policies and procedures by deadlines as assigned
Support the network through systematic and consistent feedback and coaching regarding clinical appropriateness of interventions
Identify quality improvement opportunities through ongoing evaluation of the efficiency and effectiveness of the quality assurance program
Other duties as assigned
Complete quality assurance review for the calls assigned to you
Conduct structured telephonic assessments and wellness check-ins using The Grove (Grapefruit Health’s platform)
Document interaction outcomes accurately within the platform
Escalate patient safety concerns to the Vice President of Clinical Services
Maintain strict HIPAA compliance and patient confidentiality at all times
Participate in onboarding training and ongoing check-ins