Remote RN/LPN: Clinical Quality Assurance Coordinator

MES Solutions, LLC; Norwood (MA); On-site; USD 37,000 - 40,000; Full time

Benefits offered by this job

Medical benefits

Vision benefits

Dental benefits

Paid time off

401k

Job summary

MES Solutions, LLC is seeking a Clinical Quality Assurance Coordinator to maintain high-quality peer review reports in a fully remote setup.

The role requires an active RN or LPN license with at least two years of clinical experience and strong medical terminology knowledge. You will review reports for accuracy, ensure compliance with client specs, and support management with QA insights.

Qualifications

• Active RN/LPN nursing license required.
• Graduate of an accredited nursing program; bachelor’s degree preferred.
• Minimum of two years clinical or related field experience.
• Strong knowledge of medical terminology, anatomy, physiology, medications and lab values.
• Must be able to add, subtract, multiply and divide in all units of measure; compute rates and percentages.
• Must be a qualified typist with a minimum of 40 W.P.M.
• Must operate a computer, fax, copier, scanner, and telephone.
• Proficient with Word, Outlook, Excel, and Internet.
• Excellent English usage, grammar, punctuation and style.

Responsibilities

• Performs quality assurance review of peer review reports, correspondences, addendums or supplemental reviews.
• Ensures clear, concise, evidence-based rationales support all recommendations or determinations.
• Ensures client instructions and specifications are followed and questions addressed.
• Ensures each review is supported by clinical citations; references current and reputable.
• Ensures content, format, and professional appearance of reports meet standards.
• Verify appropriate board specialty reviewed per client specifications and state mandates.
• Verify peer reviewer attests to only facts and lacks conflicts of interest.
• Ensure provider credentials and signature are adhered to in final report.
• Identify inconsistencies in reports and obtain clarifications from Peer Reviewer.
• Assist in resolving customer complaints and QA issues; ensure compliance with mandates.
• Provide insight to management on consultant quality and resource utilization.
• Participate in educational or training activities.

Skills

RN license

LPN license

Medical terminology

Typing 40 WPM

MS Word

Outlook

Excel

Attention to detail

Education

Bachelor's degree preferred

Tools

Microsoft Word

Outlook

Excel

Internet

Job description

MES Solutions, LLC is seeking a Clinical Quality Assurance Coordinator to maintain high-quality peer review reports in a fully remote setup.

The role requires an active RN or LPN license with at least two years of clinical experience and strong medical terminology knowledge. You will review reports for accuracy, ensure compliance with client specs, and support management with QA insights.