Massachusetts Licensed Clinical Quality Coordinator
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
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
