Clinical Quality Assurance Coordinator

MES Solutions, LLC; Norwood (MA); Remote; USD 80,000 - 100,000; Part time

Job summary

A leading healthcare solutions provider is seeking a part-time Clinical Quality Assurance Coordinator. This remote position requires a registered nurse to ensure high-quality peer review reports. Responsibilities include reviewing reports, maintaining compliance, and supporting management insights. Join a dynamic team offering competitive benefits and a commitment to quality in healthcare services.

Benefits

Medical Benefits

Vision Benefits

Dental Benefits

Paid Time Off

401k Plan

Qualifications

• Minimum two years clinical or related experience.
• Knowledge of anatomy, physiology, medications, and lab values.

Responsibilities

• Perform quality assurance review of peer review reports.
• Ensure compliance with client instructions and specifications.
• Assist in resolving client complaints and quality issues.

Skills

Medical Terminology

Communication

Data Calculation

Education

High School Diploma

Tools

Microsoft Office Suite

Job description

Job Details

Job Location: Norwood, MA

Position Type: Part Time

Salary Range: $29.00 - $31.25 Hourly

Travel Percentage: None

Description

Are you an RN looking for a weekend part-time position that is challenging, will keep your clinical skills sharp, but doing so from the comfort of home?

MES Solutions is seeking a self-motivated, high-performing registered nurse (RN) to join our team.

The Clinical Quality Assurance Coordinator is responsible for ensuring Peer Review case reports are of the highest quality and integrity and in full compliance with client contractual agreements, regulatory agency standards, and/or federal and state mandates.

This position is 100% remote with a schedule of Saturday and Sunday, 7:00am-3:30pm or 10:00am-6:30pm EST.

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.
• Follow all client instructions and specifications, and address all questions.
• Support reviews with current, reputable medical citations and references.
• Maintain high standards for report content, format, and professional appearance, in compliance with company standards.
• Verify appropriate review board specialty review and accurate documentation.
• Confirm reviewer attestations and absence of conflicts of interest.
• Ensure provider credentials and signatures are correctly applied.
• Identify report inconsistencies and liaise with reviewers for clarification or correction.
• Assist in resolving client complaints and quality issues.
• Adhere to federal ERISA and state mandates.
• Provide insights on quality and compliance to management.
• Promote efficient resource utilization.
• Participate in training and other assigned duties.

Qualifications

• High school diploma or equivalent; minimum two years clinical or related experience, or equivalent education and experience.
• Knowledge of medical terminology, anatomy, physiology, medications, and lab values.
• Proficiency in basic math and data calculation.
• Qualified typist with at least 40 W.P.M.
• Competent with general office equipment and multiple software programs including Microsoft Office Suite.
• Excellent command of English language, grammar, and style.
• Ability to follow instructions accurately and respond to management directions.
• Demonstrate accuracy, thoroughness, and a commitment to quality.
• Exceptional communication skills for conveying and listening effectively.
• Ability to work independently, prioritize tasks, and maintain confidentiality.

MES Solutions provides independent medical examination and peer review services to various sectors, operating nationally since 1978 with high standards of compliance and excellence.

We offer a dynamic team environment, competitive benefits (medical, vision, dental), paid time off, and a 401k plan.

Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, veteran status, or other protected categories.