Remote Utilization Review QA Nurse | Clinical Auditor

Dane Street; United States; Remote; USD 34.000 - 55.000; Vollzeit

Benefits dieser Stelle

Medical, dental, and vision coverage

Voluntary life insurance options for…

401k with company match

Apple equipment and media stipend for,

Zusammenfassung

Dane Street is seeking a QA Specialist responsible for communicating with customers, reviewers, and management to ensure timely and complete reviewer reports per client requirements. The role emphasizes clinical accuracy, meeting customer deadlines, and participating in process improvements under the Manager’s guidance.

The position involves direct physician interaction, ensuring on-time delivery, and adherence to client-specific handling instructions.

Qualifikationen

• Excellent communication skills with a clear understanding of company business lines.
• Ability to apply critical thinking, manage time efficiently and meet deadlines.
• Proficient computer literacy and typing skills.

Aufgaben

• Provide regular report status updates to the client.
• Evaluate the quality of physician reports and ensure compliance with client and jurisdictional standards; clinical rationale must support determinations.
• Clarify ambiguous report questions with clients and distribute final reports per client requirements.
• Receive, coordinate and execute clarification and addendum requests from the client.
• Work with physicians to ensure on-time delivery and provide feedback on report quality.

Ausbildung

Associate’s or Bachelor’s Degree preferred

LPN or RN license required

Jobbeschreibung

Dane Street is seeking a QA Specialist responsible for communicating with customers, reviewers, and management to ensure timely and complete reviewer reports per client requirements. The role emphasizes clinical accuracy, meeting customer deadlines, and participating in process improvements under the Manager’s guidance.

The position involves direct physician interaction, ensuring on-time delivery, and adherence to client-specific handling instructions.