Oregon Licensed Clinical Quality Coordinator

Job Summary

A company is looking for a Clinical Quality Assurance Coordinator to ensure high-quality utilization review services in a remote setting.

Key Responsibilities

• Perform quality utilization reviews using evidence-based guidelines and document findings
• Work with providers to assess the level, intensity, and duration of care
• Ensure compliance with regulatory requirements and maintain accurate records of utilization reviews

Required Qualifications

• Must hold and maintain an unencumbered Nursing license
• Experience with UMR or IRO and remote work
• Strong knowledge of medical terminology, anatomy, physiology, medications, and laboratory values
• Full understanding of HIPAA regulations and compliance
• Ability to operate general office equipment and multiple software programs, including Microsoft Office