Registered Nurse - 100% Remote

TEKsystems•Raleigh, NC

10d•$29 - $31•Remote

About The Position

Quality Assurance Registered Nurse - 100% Remote Contract duration: 520 hour contract to hire Training Schedule: M-F, 4-6 weeks Contract Details Contract Duration: 520-hour contract-to-hire, long term opportunity Training Schedule: Monday–Friday, 4–6 weeks; between 8 AM–5 PM EST (subject to change) Compensation: $31.25/hr, Please note compensation is not negotiable for any of the roles below Compliance: Drug test + background check Start date: within 2-3 weeks Schedules Available: 4, 10s (must include a Saturday or Sunday) OR Sunday - Thursday (8 hour shifts) OR Tuesday - Saturday ( 8 hour shifts)

Responsibilities

Perform quality assurance review of peer review reports, correspondences, addendums, or supplemental reviews.
Ensure clear, concise, evidence-based rationales are provided in support of all recommendations and/or determinations.
Confirm client instructions and specifications are followed and all questions addressed.
Verify each review is supported by current clinical citations and references from reputable medical journals/publications.
Ensure content, format, and professional appearance of reports meet company standards.
Confirm appropriate board specialty review per client specifications or state mandates, documented accurately.
Verify peer reviewer attestation to facts and absence of conflict of interest.
Ensure provider credentials and signature are included in final report.
Identify inconsistencies and contact Peer Reviewer for clarification, modification, or correction.
Assist in resolving client complaints and quality assurance issues.
Ensure compliance with federal ERISA and state mandates.
Provide insight to management on consultant quality, availability, and compliance with policies/procedures.
Promote efficient utilization of company resources.
Participate in educational and training activities as required.