Position Overview
Join Our Team as a Clinical Quality Assurance Coordinator!
Are you passionate about healthcare quality and compliance? Do you thrive in a detail-oriented environment where your work directly impacts patient care and regulatory excellence? If so, we want to hear from you! Weโre seeking a Clinical Quality Assurance Coordinator to join our dynamic team. In this pivotal role, youโll ensure that our peer review reports meet the highest standards of quality, accuracy, and compliance with client contracts, regulatory guidelines, and federal/state mandates.
What Youโll Do:
+ Conduct thorough quality assurance reviews of peer review reports, correspondence, and supplemental materials.
+ Ensure all recommendations are evidence-based, clearly articulated, and supported by current clinical references.
+ Verify compliance with client instructions, state mandates, and federal ERISA regulations.
+ Confirm that appropriate board-certified specialists have re...