Top 667 Rn Quality Jobs

Clinical Quality Assurance Coordinator
ExamWorks —Southfield, MI
- $26.50 - $31.00 an hour
- Full-time
- Remote
- Anatomy knowledge
- Microsoft Excel
- Microsoft Outlook
- Dental insurance
- 401(k)
Quick Apply
Team Lead, RN Quality Assurance
Thyme Care —Remote
- $105,000 a year
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
Quick Apply
Quality Management RN Per Diem- Remote Opportunity
Capital Health —Remote
- $47.12 an hour
- Part-time
- Remote
- Nursing
- RN License
- Bachelor of Science
- Disability insurance
- Health insurance
Quality Assurance RN Weekends | Remote
Adaptive Home Health —Richardson, TX
- $35 an hour
- Weekends as needed
- Remote
- RN License
- Mid-level
- Quality control
- Flexible schedule
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Quality Assurance Specialist
AAdi Home Health & Hospice —Remote
- $50 - $60 an hour
- Part-time
- Remote
- LVN
- RN License
- Computer literacy
- Flexible schedule
Quick Apply
18h
Clinical Quality Reviewer - REMOTE - RN - US Citizen Required
TEEMA —Phoenix, AZ
- $41 - $44 an hour
- Full-time
- Remote
- Nursing
- RN License
- Writing skills
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3d
RN Quality Assurance Coordinator
Elite Home Health —Hobbs, NM
- Full-time
- RN License
- Home Health
- Patient care
Quick Apply
Quality Improvement, RN
Inland Empire Health Plan —Rancho Cucamonga, CA
- $91,249.60 - $120,910.40 a year
- Full-time
- Hybrid work
- Nursing
- Microsoft Excel
- RN License
- Disability insurance
- Health insurance
Quality RN - Sheldon Medical Center - Full Time
Sanford Health —Sheldon, IA
- $33.50 - $48.00 an hour
- Online Application
- Background check
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
4d
RN Quality Educator
UR Medicine Home Care —Webster, NY
- $76,606 - $107,993 a year
- Full-time
- CPR Certification
- Nursing
- Microsoft Excel
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RN Clinical Quality Coordinator
Community Health System —Fresno, CA
- $54.96 - $69.94 an hour
- 8 hour shift
- Nursing
- RN License
- 5 years
- Free parking
- 403(b) matching
RN - Clinical Liaison/Quality Practice Advisor (Hybrid)
Healthmap Solutions —Buffalo, NY
- $95,000 - $135,000 a year
- Full-time
- Hybrid work
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Disability insurance
- Health insurance
Hospice Compliance & Quality RN
Good Samaritan Hospice —Valencia, PA
- Full-time
- Nursing
- RN License
- Mid-level
- 403(b) matching
- Health insurance
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14d
Nursing Quality/Stroke & Sepsis Data Analyst
St. Joseph's/Candler —Savannah, GA
- $67,100 - $103,604 a year
- Full-time
- Nursing
- Mid-level
- Master's degree
- Health savings account
- Health insurance
Quick Apply
RN Clinical Quality Coordinator - LLH, Newport News
Lifelong Health Management Contracts —Newport News, VA
- $76,400 - $105,050 a year
- Full-time
- Nursing
- RN License
- Mid-level
Quick Apply
Quality Care Coordinator - RN
The Rosewood at Tybee Island —Tybee Island, GA
- Weekends as needed
- Nursing
- English
- Mid-level
- Continuing education credits
- COVID-19 protective measures
Quick Apply
4d
RN, Quality Management Coordinator, Peer Review
Community Health System —Fresno, CA
- $55.48 - $70.60 an hour
- 8 hour shift
- Nursing
- RN License
- 5 years
- Retirement plan
Clinical Educator/Infection Preventionist and Quality Liaison
Lutheran SeniorLife —Mars, PA
- Weekends as needed
- Nursing
- RN License
- Mid-level
- Mileage reimbursement
- Paid holidays
QA/Office RN
Continuity Care Home Nurses, Inc. —Valley Village, CA
- $50 - $70 an hour
- Urgently hiring
- Bilingual
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Quality Assurance Nurse
Aberdeen Heights —Kirkwood, MO
- Online Application
- Background check
- Nursing
- Skilled nursing facility
- Health savings account
- AD&D insurance
Quick Apply

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Clinical Quality Assurance Coordinator

ExamWorks -
Southfield, MI

Quick Apply

Job Details

Full-time
$26.50 - $31.00 an hour

Benefits

Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Anatomy knowledge
Microsoft Excel
Microsoft Outlook
Maintaining patient confidentiality
Basic math
English
Fax machines
Typing
Faxing
Grammar Experience
Medical terminology
Customer complaint resolution

Full Job Description

This role is designed for licensed nursing professionals. To be considered, you must hold an active RN, LPN, or LVN license.

Craving a New Adventure? Flex Your Clinical Skills Right from Your Couch!

Are you a Nurse (LPN, LVN or RN) seeking a role that challenges you, helps you grow, and lets you work from the comfort of your own home? ExamWorks has the perfect opportunity for you!

We’re looking for a Clinical Quality Assurance Coordinator to join our team! In this role, you’ll ensure Peer Review case reports meet the highest standards of quality, integrity, and compliance with client agreements, regulatory guidelines, and federal/state mandates.

We are targeting nurses with:

experience with peer review, clinical documentation review, or medical necessity assessments.
familiarity with CMS guidelines, InterQual, Milliman/MCG, or payer policies.
prior employment with insurance carriers, TPAs, or managed care organizations.

Why This Role Rocks:

100% Remote - Enjoy the flexibility of working from home!
Impactful Work - You’ll play a key role in ensuring the quality and compliance of critical reports.
Schedule - Monday to Friday; 8:30am-5:00pm EST

Responsibilities may include:

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.
Verify that the peer reviewer has attested to only the facts and that no evidence of reviewer conflict of interest exists.
Ensure the provider credentials and signature are adhered to the final report.
Identify any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed.
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.
Provide 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.
Perform other duties as assigned.

High school diploma or equivalent required with a minimum of two years clinical or related field experience; or equivalent combination of education and experience.
Experience in peer review, clinical documentation review, or medical necessity assessments.
Familiarity with CMS guidelines, InterQual, Milliman/MCG, or payer policies.
Prior employment with insurance carriers, TPAs, or managed care organizations.
Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.
Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages.
Must be a qualified typist with a minimum of 40 W.P.M
Must be able to operate a general computer, fax, copier, scanner, and telephone.
Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
Must possess excellent skills in English usage, grammar, punctuation and style.
Ability to follow instructions and respond to upper managements’ directions accurately.
Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.
Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
Must be able to work independently, prioritize work activities and use time efficiently.
Must be able to maintain confidentiality.

ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.

Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.

Equal Opportunity Employer - Minorities/Females/Disabled/Veterans

ExamWorks offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k

#LI-MB1

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Refine Your Search

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