Quality Assurance Coordinator - Healthcare jobs in Illinois

Quality Assurance Coordinator - Healthcare plans, coordinates, and implements the quality management and quality improvement programs for a healthcare facility. Monitors and provides assistance with quality assurance and compliance functions. Being a Quality Assurance Coordinator - Healthcare provides consultation and direction to ensure programs and services are implemented at the highest standards and patients receive the highest level of care. Ensures policies and procedures are monitored and updated to include regulatory changes. Additionally, Quality Assurance Coordinator - Healthcare requires an associate degree, and is certified as a registered nurse. Typically reports to a manager or head of a unit/department. To be a Quality Assurance Coordinator - Healthcare typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)

E
Clinical Quality Assurance Coordinator
  • ExamWorks
  • Rockford, IL FULL_TIME
  • Are you looking for a position that is challenging, will keep your clinical skills sharp, but doing so from the comfort of home?

    ExamWorks is seeking a self-motivated, high-performing 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 and the schedule will be Monday-Friday. You can start your day anytime between 7:00-9:00am CT and end between 3:30pm-5:30pm. (Training will be 7:30am-4:00pm CT, Monday-Friday).

    Are you motivated, energetic, and excited to become part of the ExamWorks team? If so, you might be our next new team member!

    Responsibilities

    • Performs quality assurance review of peer review reports, correspondences, addendums or supplemental reviews.
    • Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.
    • Ensures that all client instructions and specifications have been followed and that all questions have been addressed.
    • Ensures 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.
    • Ensures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.
    • Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report.
    • Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists.
    • Ensures the provider credentials and signature are adhered to the final report.
    • Identifies any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed.
    • Assists in resolution of customer complaints and quality assurance issues as needed.
    • Ensures all federal ERISA and/or state mandates are adhered to at all times.
    • Provides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.
    • Promote effective and efficient utilization of company resources.
    • Participate in various educational and or training activities as required.
    • Perform other duties as assigned.

    Qualifications

    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.

    • 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; Ability to compute rates and percentages.
    • Must be a qualified typist with a minimum of 40 W.P.M
    • Must be able to operate a general computer, fax, copier, scanner, and telephone.
    • Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
    • Must possess excellent skills in English usage, grammar, punctuation and style.
    • Ability to follow instructions and respond to upper managements’ directions accurately.
    • Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.
    • Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
    • Must be able to work independently, prioritize work activities and use time efficiently.
    • Must be able to maintain confidentiality.

    ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.

    ExamWorks offers a fast-paced team atmosphere with competitive benefits, paid time off, and 401k.

    ExamWorks, LLC is an Equal Opportunity Employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities and all individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age or any other status protected under local, state or federal laws.

    Equal Opportunity Employer - Minorities/Females/Disabled/Veterans
  • 1 Day Ago

E
Clinical Quality Assurance Coordinator
  • Examworks Group, Inc.
  • Rockford, IL OTHER
  • Overview Calling all Weekend Warrior Nurses from Across the U.S. Are you looking for a position that is challenging, will keep your clinical skills sharp, but doing so from the comfort of home? ExamWo...
  • 2 Days Ago

P
Quality Assurance Coordinator
  • PolyConversion's, Inc.
  • Champaign, IL FULL_TIME
  • PolyConversions, Inc. is a global industry leader in the design and manufacture of Disposable and Limited-use Personal Protective Wear and is a FDA registered facility. We market to Food Processing, H...
  • 6 Days Ago

A
Quality assurance coordinator
  • Aspen Dental
  • Chicago, IL FULL_TIME
  • Salary Range : $75 -$80K Reporting to the Sr. Director, Digital Design, Design Quality Assurance Coordinator will perform real-time assessment of incoming designs, communication of rejection to approp...
  • 11 Days Ago

E
Quality Assurance Coordinator
  • ExamWorks, Inc.
  • Rockford, IL FULL_TIME
  • Quality Assurance Coordinator Requisition ID 2024-10390 # of Openings 1 Category Operations Location US-IL-Rockford Overview Are you an MA (Medical Assistant) looking to step away from a medical offic...
  • 2 Months Ago

H
Quality Assurance Manager
  • Healthcare Alternative Systems, Inc (H.A.S)
  • Chicago, IL FULL_TIME
  • Quality Assurance Manager- Chicago Ave 4734 W. Chicago Ave. Chicago, IL, 60651 Full- Time, Non-Exempt Healthcare Alternative Systems, Inc. (H.A.S.) is a 501 (c) 3 non-profit organization providing beh...
  • 1 Day Ago

G
Quality Assurance Coordinator
  • Globus Medical
  • San Antonio, TX
  • About Us: At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life of ...
  • 6/2/2024 12:00:00 AM

C
Quality Assurance Coordinator
  • Continental Tide Defense System INC.
  • Virginia Beach, VA
  • Job Description Company Overview: Continental Tide Defense Systems, Inc. (Continental Tide) is an industry leader, provi...
  • 6/2/2024 12:00:00 AM

M
Supervisor, Quality Assurance
  • Merck Group
  • Cincinnati, OH
  • As the Quality Assurance Supervisor, you are a leader for the Quality Assurance team at MilliporeSigma Norwood, reportin...
  • 5/31/2024 12:00:00 AM

W
Quality Assurance Coordinator
  • Wabtec Corporation
  • Duncan, SC
  • Wabtec Corporation is a leading global provider of equipment, systems, digital solutions and value-added services for fr...
  • 5/31/2024 12:00:00 AM

P
Supervisor Quality Assurance
  • Precision Castparts Corp
  • Huntington, WV
  • SUMMARY The Supervisor Quality Assurance is responsible for the day-to-day function of the Quality Assurance Department ...
  • 5/30/2024 12:00:00 AM

K
Quality Assurance Coordinator
  • Kenco Group
  • Groveport, OH
  • About the Position The role of the Quality Assurance Coordinator is to assist in managing the site quality management sy...
  • 5/30/2024 12:00:00 AM

K
Quality Assurance Coordinator
  • Kenco Group
  • Temple, TX
  • About the Position The role of the Quality Assurance Coordinator is to assist in managing the site quality management sy...
  • 5/30/2024 12:00:00 AM

A
Quality Assurance Coordinator
  • Ashland Global Specialty Chemicals, Inc.
  • Kenedy, TX
  • Ashland Specialty Ingredients, GP Are you the kind of person that is always thinking, sketching, seeking, and adjusting?...
  • 5/29/2024 12:00:00 AM

Illinois (/ˌɪlɪˈnɔɪ/ (listen) IL-ih-NOY) is a state in the Midwestern and Great Lakes region of the United States. It has the fifth largest gross domestic product (GDP), the sixth largest population, and the 25th largest land area of all U.S. states. Illinois is often noted as a microcosm of the entire United States. With Chicago in northeastern Illinois, small industrial cities and immense agricultural productivity in the north and center of the state, and natural resources such as coal, timber, and petroleum in the south, Illinois has a diverse economic base, and is a major transportation hu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Quality Assurance Coordinator - Healthcare jobs
$85,629 to $107,361