Remote Clinical QA Nurse: Elevate Medical Quality

TEKsystems; United States; Remote; USD 37,000 - 39,000; Full time

Job summary

TEKsystems is seeking a Clinical Quality Assurance Nurse for a remote contract-to-hire role in the United States. The position focuses on ensuring the highest quality case reports, with adherence to client contracts, regulatory standards, and federal/state mandates.

Key responsibilities include reviewing peer reports, supporting QA with evidence-backed rationales, and ensuring proper documentation and citations. The role requires HIPAA proficiency and meticulous attention to detail.

Qualifications

• Must understand medical terminology, anatomy, physiology, medications and lab values.
• Must type at least 40 WPM with accuracy.
• Must understand and comply with HIPAA regulations.
• Proficient with computer use: Word, Outlook, Excel, internet.
• Strong verbal and written communication skills are required.
• Demonstrates accuracy and thoroughness in work output.
• Able to work independently and manage time effectively.

Responsibilities

• Perform QA review of peer review reports and addendums.
• Ensure evidence-based rationales accompany recommendations.
• Follow client instructions and address all questions.
• Cite clinical references and ensure currency of sources.
• Maintain high quality formatting and professional appearance of reports.
• Verify board specialty reviews align with client specs and state mandates.
• Ensure reviewer attestation and lack of conflicts of interest.
• Ensure provider credentials and signatures on final reports.
• Identify inconsistencies and seek clarification from Peer Reviewer.
• Assist in resolving client quality issues as needed.
• Adhere to ERISA and state mandates at all times.
• Provide insights to management on consultant quality and compliance.
• Support efficient use of company resources.
• Participate in training activities.
• Perform other duties as assigned.

Skills

Medical terminology

HIPAA compliance

40 WPM typing

Computer literacy

MS Office

Communication skills

Attention to detail

Independent worker

Confidentiality

Team player

Adaptability

Policy compliance

Time management

Tools

Microsoft Word

Outlook

Excel

Internet

Job description

TEKsystems is seeking a Clinical Quality Assurance Nurse for a remote contract-to-hire role in the United States. The position focuses on ensuring the highest quality case reports, with adherence to client contracts, regulatory standards, and federal/state mandates.

Key responsibilities include reviewing peer reports, supporting QA with evidence-backed rationales, and ensuring proper documentation and citations. The role requires HIPAA proficiency and meticulous attention to detail.