Remote Nursing Quality Assurance Coordinator

MCMC; United States; Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical, vision, and dental benefits

Paid time off

401k

Job summary

MCMC is seeking a licensed nurse for a 100% remote Clinical Quality Assurance Coordinator role. You will review peer review reports for quality, accuracy, and regulatory alignment, applying clinical judgment to ensure consistent outcomes across clients.

The position emphasizes attention to detail, adherence to standards, and strong communication skills. Schedule options support work-life balance, with occasional weekend coverage as needed.

Qualifications

• Active nursing license required (RN/LPN/LVN).
• Graduate of an accredited nursing program; bachelor’s degree preferred.
• Strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.
• Must be a qualified typist with a minimum of 40 WPM
• Knowledge of Microsoft Word, Outlook, Excel, and the Internet.
• Excellent English usage, grammar, punctuation and style.
• Ability to follow instructions and respond to upper management’s directions accurately.
• Demonstrates accuracy and thoroughness; looks for ways to improve quality and monitors own work.
• Exceptional communication skills to convey information accurately, listen effectively and ask clarifications.
• Ability to work independently, prioritize work, manage time efficiently.
• Maintain confidentiality.
• Promote a positive team-oriented environment.
• Stay focused under distractions and work under pressure.

Responsibilities

• Perform quality assurance review of peer review reports, correspondences, addendums or supplemental reviews.
• Ensure clear, concise, evidence-based rationales are provided for recommendations and determinations.
• Confirm all client instructions and specifications are followed and questions addressed.
• Support reports with clinical citations and current, reputable references.
• Ensure content and presentation meet company standards and are high quality.
• Verify board specialty review aligns with client specs or state mandates and is documented.
• Verify reviewer attestation to facts and absence of conflicts of interest.
• Ensure provider credentials and signatures are included in the final report.
• Identify inconsistencies and contact Peer Reviewer for clarification or corrections.
• Assist in resolving client complaints and QA issues.
• Ensure all ERISA and state mandates are adhered to.
• Provide management with insights on consultant quality and compliance with policies.
• Promote efficient use of company resources.
• Participate in training activities as required.
• Perform other duties as assigned.

Skills

Attention to detail

Clinical knowledge

Strong English skills

Time management

Independent worker

Teamwork

Communication skills

Confidentiality

Education

Accredited nursing program

Bachelor’s degree preferred

Tools

Microsoft Word

Outlook

Excel

Internet

Job description

MCMC is seeking a licensed nurse for a 100% remote Clinical Quality Assurance Coordinator role. You will review peer review reports for quality, accuracy, and regulatory alignment, applying clinical judgment to ensure consistent outcomes across clients.

The position emphasizes attention to detail, adherence to standards, and strong communication skills. Schedule options support work-life balance, with occasional weekend coverage as needed.