Clinical Quality Assurance Coordinator

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:

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

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

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

  
  
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  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.

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

  
  
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  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.

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

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

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

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

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

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

  
  
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  Promote effective and efficient utilization of company resources.

  
  
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  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 values.
• Must be a qualified typist with a minimum of 40 W.P.M
• Must have a full understanding of HIPAA regulations and compliance.
• 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 demonstrate exceptional communication skills.
• Ability to follow instructions and respond to upper managements' directions accurately.
• Must demonstrate accuracy and thoroughness. Look for ways to improve and promote quality and monitors own work to ensure quality is met.
• Must be able to work independently, prioritize work activities and use time efficiently.
• Must be able to maintain confidentiality.
• Must be able to demonstrate and promote a positive team -oriented environment.
• Must be able to stay focused and concentrate under normal or heavy distractions.
• Must be able to work well under pressure and or stressful conditions.
• Must possess the ability to manage change, delays, or unexpected events appropriately.
• Ability to follow all company policies and procedures in effect at time of hire and as they may change or be added from time to time.

LANGUAGE/COMMUNICATION SKILLS

• Ability to read, analyze and interpret common correspondence, medical records, and legal contracts and documents.
• Ability to write clearly and informatively to all required audiences and edit own work for appropriate spelling and grammar.
• Ability to respond appropriately and professionally to all inquiries or complaints from customers, physicians, regulatory agencies, and/or members of the business community.
• Ability to effectively present information one-on-one or in small groups.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This position generally consists of:

• Ability to work at a desk or similar office-type furnishings up to 8 hours a day or longer as required by business needs.
• Ability to operate a computer up to 4 hours at a time.
• Ability to travel to different floors of the office or other locations.
• Ability to move throughout the office.
• Occasionally lifting and/or carrying up to 10 lbs.
• Occasionally pushing/pulling up to 10 lbs.
• Occasionally subject to bending, squatting or twisting.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Extended hours are occasionally required beyond the regular eight (8) hour work day.
• The noise level in the work environment is usually moderate.