Clinical Quality Assurance Coordinator (30558)

Calling All RN's! 

Are you an RN looking for an exciting new opportunity? MES is on the hunt for a talented Clinical Quality Assurance Coordinator to join our growing team! In this role, you’ll dive into medical records, pulling out key details and crafting detailed narrative summaries. Your keen eye for detail will make you an invaluable part of our quality assurance process.

Why You’ll Love This Role:

     -100% Remote – Work from where you're most comfortable - home!
     -Flexible Hours – Monday-Friday.  Start your day between 7:00am and 12:00pm EST, and end between 3:30pm and 8:30pm EST.
     -Great Training – The first 4-6 weeks of training are designed to set you up for success, with a preferred training schedule of 12:00pm-8:30pm EST.

At MES, we’re an employee-first company offering fantastic benefits and incredible growth opportunities. If you’re ready to take the next step in your career with a team that values your expertise, we want to hear from you!

Essential duties and responsibilities to perform this job successfully include, but are not limited to the following:

• Performs quality assurance review of peer review reports, correspondences, addendums or supplemental reviews.

• Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.

• Ensures that all client instructions and specifications have been followed and that all questions have been addressed.

• Ensures 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.

• Ensures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.

• Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report.

• Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists.

• Ensures the provider credentials and signature are adhered to the final report.

• Identifies any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed.

• Assists in resolution of customer complaints and quality assurance issues as needed.

• Ensures all federal ERISA and/or state mandates are adhered to at all times.

• Provides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.

• Promote effective and efficient utilization of company resources.

• Participate in various educational and or training activities as required.

MINIMUM REQUIRED QUALIFICATIONS

Education and/or Experience  

High school diploma or equivalent required. A minimum of two years clinical or related field experience; or equivalent combination of education and experience preferred. Knowledge of the insurance industry, preferably claims management relative to one or more of the following categories: workers' compensation, no-fault, liability, or disability preferred.

Certificates, Licenses, Registrations

LPN/LVN/RN may be required based on business needs.

ESSENTIAL COMPETENCIES

QUALIFICATIONS 

• Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory