Remote Senior Clinical Quality Nurse Reviewer - QA Expert

kozmetickesluzby.vecnakraska.sk - Jobboard; Kentucky; Sur place; USD 64 500 - 92 200; Plein temps

Avantages offerts par ce poste

Flexible vacation policy

401(k) employer match

Comprehensive health benefits

Educational assistance

Résumé du poste

Gainwell Technologies LLC is seeking a Clinical Quality Nurse Reviewer, Sr. Specialist to perform ongoing quality assurance audits on clinical staff. This full-time remote position requires an active RN license and clinical experience in healthcare.

Responsibilities include reviewing documentation, performing QA checks, and assisting with mentoring new reviewers. The position offers competitive pay ranging from $64,500 to $92,200 annually, along with comprehensive benefits and development opportunities.

Qualifications

• Active, unrestricted RN license in the U.S.
• 5+ years clinical experience in acute setting.
• 3+ years medical record review/auditing experience.

Responsabilités

• Perform QA checks on complex clinical claim reviews.
• Analyze claim data and medical records.
• Document determinations clearly.

Connaissances

Clinical judgement

Written communication

Analytical skills

Multi-tasking

Formation

Associate degree

Bachelor’s degree (preferred)

Description du poste

Gainwell Technologies LLC is seeking a Clinical Quality Nurse Reviewer, Sr. Specialist to perform ongoing quality assurance audits on clinical staff. This full-time remote position requires an active RN license and clinical experience in healthcare.

Responsibilities include reviewing documentation, performing QA checks, and assisting with mentoring new reviewers. The position offers competitive pay ranging from $64,500 to $92,200 annually, along with comprehensive benefits and development opportunities.