Clinical Quality Assurance Supervisor

This is a fully remote position, open to applicants in United States.

📋 Description

• The Clinical QA Supervisor is tasked with overseeing the evaluation of Physician reports and related medical records to guarantee that the reports are thorough, precise, and aligned with medical evidence.

• Supervision of QA staff

• - Ensure that the appropriate QA personnel are designated to each file to allocate file handling responsibilities among the team.

• - Oversee the assigned staff and manage the File Review Board to ensure each file is processed in a timely and accurate manner.

• - Provide managers with details from board reviews to enhance staff efficiency and productivity.

• - Aid in identifying and rectifying staff performance issues, including promotions, disciplinary actions, coaching, and terminations.

• - Assist in recruiting qualified candidates for open QA positions.

• Ensure that all QA staff comply with and fulfill their specific job responsibilities, which include but are not limited to:

• - Following up with Physicians regarding outstanding reports

• - Reviewing submitted reports for accuracy

• - Returning completed reports to all relevant parties

• - Adhering to all client-specific instructions

• - Actively engaging in issue resolution by collaborating with necessary QA personnel, physicians, account managers, and/or other related parties.

• - Ensuring referrals meet the client-directed Turn Around Time (TAT).

• - Serving as the liaison between the reviewer, team member, and client regarding the process or status of the file.

• - Performing other duties and special projects as assigned based on business requirements.

⛳️ Requirements

• EDUCATION/CREDENTIALS:

• An Associate’s Degree or Bachelor’s Degree is preferred.

• **RN licensure is required**

• JOB RELEVANT EXPERIENCE:

• Medical peer review or knowledge of the healthcare industry is required.

• Business experience within a healthcare and/or insurance environment is preferred.

• JOB RELATED SKILLS/COMPETENCIES:

• Possess exceptional communication skills with a clear understanding of company business lines. Ability to apply critical thinking, manage time effectively, and meet specific deadlines. Proficiency in computer skills and typing is essential.

🏝️ Benefits

• Join our team at Dane Street and take advantage of a comprehensive benefits package designed to support your well-being and peace of mind. We offer a variety of benefits including medical, dental, and vision coverage for you and your family. Additionally, voluntary life insurance options are available for you, your spouse, and your children. Other voluntary benefits include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided to support your remote workspace.