Job Summary
An insurance services company needs applicants for an opening for a Remote Clinical Quality Assurance Coordinator in Mount Pleasant.
Must be able to:
- Perform quality assurance review of peer review reports, correspondences, addendums or supplemental reviews
- Ensure clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations
- Ensure that all client instructions and specifications have been followed and that all questions have been addressed
Qualifications for this position include:
- Associates degree required
- RN or LPN/ LVN licensure required
- A minimum of two years clinical or related field experience; or equivalent combination of education and experience required
- Knowledge of the insurance industry preferably claims management relative to workers' compensation, no-fault and liability
- Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values
- Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals
