Quality Assurance Coordinator - Healthcare jobs in Indiana

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)

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Clinical Quality Assurance Coordinator
  • ExamWorks
  • Evansville, IN FULL_TIME
  • Are you an experienced Licensed Practical Nurse (LPN/LVN or RN) looking for your next opportunity?

    ExamWorks is seeking a Clinical Quality Assurance Coordinator to join our team!

    This position is 100% remote and the schedule will be Monday - Friday 8:00am to 4:30pm CT.

    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.

    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

    EDUCATION AND/OR EXPERIENCE

    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.

    Qualifications

    • 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.
    • Must be able to demonstrate and promote a positive team -oriented environment.
    • Must be able to stay focused and concentrate under normal or heavy distractions.
    • Must be able to work well under pressure and or stressful conditions.
    • Must possess the ability to manage change, delays, or unexpected events appropriately.
    • Demonstrates reliability and abides by the company attendance policy.
    • Must maintain a professional and clean appearance at all times consistent with company standards.

    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
  • 5 Days Ago

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Clinical Quality Assurance Coordinator
  • Examworks Group, Inc.
  • Evansville, IN OTHER
  • Overview Are you an experienced Licensed Practical Nurse (LPN/LVN or RN) looking for your next opportunity? ExamWorks is seeking a Clinical Quality Assurance Coordinator to join our team! This positio...
  • 6 Days Ago

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Quality Assurance Coordinator
  • Wabash Center Inc
  • Lafayette, IN FULL_TIME
  • Wabash Center comes from humble beginnings. The origin of the organization can be traced to a core group of families with children who had special needs. Today, Wabash Center has grown into a comprehe...
  • 7 Days Ago

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Quality Assurance Coordinator II
  • LifeScience Logistics
  • Brownsburg, IN FULL_TIME
  • RESPONSIBILITIES:Perform all duties from a Quality perspectiveGain a thorough understanding of all LSL Quality documents and proceduresGain a thorough understanding of regulatory requirements related ...
  • 12 Days Ago

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Quality Assurance Coordinator II
  • Life Science Logistics, LLC
  • Brownsburg, IN FULL_TIME
  • RESPONSIBILITIES: Perform all duties from a Quality perspective Gain a thorough understanding of all LSL Quality documents and procedures Gain a thorough understanding of regulatory requirements relat...
  • 1 Month Ago

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QUALITY ASSURANCE COORDINATOR
  • ResCare Community Living
  • FORT WAYNE, IN FULL_TIME
  • Our Company ResCare Community Living Overview Our Quality, Risk and Compliance teams focus on maintaining compliance and auditing to mitigate risk for our operations. This keeps the company in complia...
  • 27 Days Ago

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Quality Assurance Coordinator
  • Integra LifeSciences Holdings Corp.
  • Columbia, SC
  • Changing lives. Building Careers. Joining us is a chance for you to do important work that creates change and shapes the...
  • 6/11/2024 12:00:00 AM

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Quality Assurance Coordinator
  • Microbac
  • Whippany, NJ
  • ABOUT MICROBAC Microbac serves our clients with the utmost expertise and respect for their market requirements, constrai...
  • 6/11/2024 12:00:00 AM

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Quality Assurance Supervisor
  • Alpla
  • Vandalia, OH
  • ALPLA is a global family-owned, privately held company that makes innovative, customized, recycled packaging for top com...
  • 6/10/2024 12:00:00 AM

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Quality Assurance Coordinator
  • Management and Training Corporation
  • Bryan, TX
  • Job Description Pay: $22.00 per hour Work with a purpose! Management & Training Corporation (MTC) provides a safe and se...
  • 6/10/2024 12:00:00 AM

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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 ...
  • 6/7/2024 12:00:00 AM

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Quality Assurance Coordinator
  • SGS
  • Orlando, FL
  • We are SGS – the world's leading testing, inspection and certification company. We are recognized as the global benchmar...
  • 6/7/2024 12:00:00 AM

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Quality Assurance Supervisor
  • Dairy Farmers of America
  • New Wilmington, PA
  • General Purpose: Responsible for plant adherence to Good Manufacturing Practices (GMP) regulations and Sanitation Standa...
  • 6/3/2024 12:00:00 AM

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Quality Assurance Supervisor
  • BlueTriton Brands
  • Zephyrhills, FL
  • BlueTriton is a leading provider of spring and purified water products - the name behind your favorite bottled water bra...
  • 5/6/2024 12:00:00 AM

Indiana /ˌɪndiˈænə/ (listen) is a U.S. state located in the Midwestern and Great Lakes regions of North America. Indiana is the 38th largest by area and the 17th most populous of the 50 United States. Its capital and largest city is Indianapolis. Indiana was admitted to the United States as the 19th U.S. state on December 11, 1816. Indiana borders Lake Michigan to the northwest, Michigan to the north, Ohio to the east, Kentucky to the south and southeast, and Illinois to the west. Before becoming a territory, various indigenous peoples and Native Americans inhabited Indiana for thousands of ye...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Quality Assurance Coordinator - Healthcare jobs
$81,382 to $102,031