Remote Oncology Utilization Review Nurse - QA Specialist

Dane Street; Oregon; Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

401k with company match

Apple equipment and remote workspaceSt

Job summary

Dane Street is seeking a QA Specialist in Oregon to oversee reviewer reports, ensure completeness by client due dates, and communicate with clients, reviewers, and management. The role emphasizes accuracy, compliance with client requirements, and timely delivery.

The QA Specialist will evaluate physician reports for clinical rationale, support quality improvements with the Manager, and collaborate with the VP of Clinical Operations to enhance processes and outcomes.

Qualifications

• Associate or Bachelor’s degree preferred; LPN or RN license required.
• Healthcare or insurance experience preferred.
• Excellent written and verbal communication skills.
• Ability to interpret clinical data and ensure report accuracy.

Responsibilities

• Provide regular report status updates to the client.
• Evaluate the quality of physician reports to meet client and jurisdictional standards; ensure clinical rationale supports determinations.
• Clarify ambiguous report questions with clients.
• Distribute final reports per client requirements and coordinate addenda requests.
• Interact with physicians to ensure timely, well-supported reports.
• Review reports for data accuracy (spelling, grammar, punctuation) and ensure state reporting requirements are met.
• Support process improvements to increase efficiency and client satisfaction.

Skills

Communication

Critical thinking

Time management

Attention to detail

Education

Associate or Bachelor’s degree

LPN/RN license

Job description

Dane Street is seeking a QA Specialist in Oregon to oversee reviewer reports, ensure completeness by client due dates, and communicate with clients, reviewers, and management. The role emphasizes accuracy, compliance with client requirements, and timely delivery.

The QA Specialist will evaluate physician reports for clinical rationale, support quality improvements with the Manager, and collaborate with the VP of Clinical Operations to enhance processes and outcomes.