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About Us:
Job Description
Are you looking for a position that is challenging, will keep your clinical skills sharp, but doing so from the comfort of home?
MES Solutions is seeking a self-motivated, high-performing registered nurse (RN) to join our team.
The Clinical Quality Assurance Coordinator is responsible for ensuring Peer Review case reports are of the highest quality and integrity and in full compliance with client contractual agreement, regulatory agency standards and/or federal and state mandates.
The position is 100% remote, Monday through Friday. You'll work three days with flexible start time between 7:00am-10:00am EST (ending between 3:30pm-6:30pm EST), and two days of 12:00pm-8:30pm EST, with every other Friday on the late shift.
If you're ready for a new challenge and want to thrive in a role that offers work-life balance, read on!
Duties and Responsibilities:
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Perform quality assurance review of peer review reports, correspondences, addendums or supplemental reviews.
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Ensure clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.
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Ensure that all client instructions and specifications have been followed and that all questions have been addressed.
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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.
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Ensure 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 the appropriate board specialty has reviewed the case in compliance with client specifications or state mandates and is documented accurately on the case report.
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Verify that the peer reviewer has attested to only the facts and that no evidence of reviewer conflict of interest exists.
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Ensure the provider credentials and signature are adhered to the final report.
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Identify any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed.
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Assist in resolution of client complaints and quality assurance issues as needed.
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Ensure all federal ERISA and state mandates are adhered to at all times.
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Provide 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.
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Perform other duties as assigned.
- High school diploma or equivalent required.
- A minimum of two years clinical or related field experience; or equivalent combination of education and experience.
- Knowledge of the insurance industry preferably claims management relative to one or more of the following categories: workers' compensation, no-fault, liability, and/or disability.
Qualifications:
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Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.
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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.
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Must be a qualified typist with a minimum of 40 W.P.M
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Must be able to operate a general computer, fax, copier, scanner, and telephone.
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Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
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Must possess excellent skills in English usage, grammar, punctuation and style.
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Ability to follow instructions and respond to upper managements’ directions accurately.
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Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.
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Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
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Must be able to work independently, prioritize work activities and use time efficiently.
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Must be able to maintain confidentiality.
About Us:
MES Solutions is a premier provider of independent medical examination and peer review services to the insurance, corporate, legal, and government sectors. Members of our credentialed medical panel conduct physical examinations or medical record reviews, delivering reports that assist clients in the resolution of automotive, disability, liability, and workers' compensation claims. MES has been providing services nationally since 1978 in accordance with the industry's highest standards of operating excellence and regulatory compliance.
MES offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.
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.