Massachusetts Licensed Clinical Quality Coordinator

Job Summary

A company is looking for a Clinical Quality Assurance Coordinator.

Key Responsibilities

• Perform quality assurance review of peer review reports, ensuring compliance with client specifications and regulatory standards
• Provide support to the Quality Assurance Department, addressing quality assurance questions and client complaints
• Ensure all reports are of high quality, evidence-based, and free from inconsistencies or conflicts of interest

Required Qualifications

• Must be a Registered Nurse (RN) with a high school diploma or equivalent
• A minimum of two years of clinical or related field experience preferred
• Knowledge of the insurance industry, particularly in claims management, is preferred
• Strong understanding of medical terminology, anatomy, and physiology
• Familiarity with HIPAA regulations and compliance is required