Remote RN Quality Assurance Coordinator

CrossMed Healthcare Staffing; Duncan (AZ); Remote; USD 37,000 - 39,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) Retirement plan

Job summary

TEKsystems is seeking a Clinical Quality Assurance Coordinator for a fully remote, contract-to-hire role. You will ensure high-quality case reports, regulatory compliance, and support the QA department while leveraging Utilization Management experience and RN licensure.

This position pays $26.50–$28.50 per hour and requires 2–4 years of experience. The contract originates from Chicago, IL, with benefits including medical, dental, and vision, and a path to permanent employment upon successful

Qualifications

• Must have Utilization Management experience.
• Must be a Registered Nurse.
• Need at least 2-4 years experience.

Responsibilities

• Perform quality assurance review of peer review reports, correspondences, addendums or supplemental reviews.
• Ensure clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.
• Ensure that all client instructions and specifications have been followed and that all questions have been addressed.
• Ensure each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications.
• Ensure the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.
• Ensure the appropriate board specialty has reviewed the case in compliance with client specifications or state mandates and is documented accurately on the case report.
• Assist in resolution of client complaints and quality assurance issues as needed.
• Ensure all federal ERISA and state mandates are adhered to at all times.

Skills

Utilization Management experience

Registered Nurse

Job description

TEKsystems is seeking a Clinical Quality Assurance Coordinator for a fully remote, contract-to-hire role. You will ensure high-quality case reports, regulatory compliance, and support the QA department while leveraging Utilization Management experience and RN licensure.

This position pays $26.50–$28.50 per hour and requires 2–4 years of experience. The contract originates from Chicago, IL, with benefits including medical, dental, and vision, and a path to permanent employment upon successful