What you'll be doing

Conducting comprehensive quality assurance audits on service calls and other healthcare-related tasks
Providing detailed feedback and coaching to team members to drive continuous improvement
Analyzing performance data and identifying areas for process optimization
Collaborating with cross-functional teams to implement quality initiatives
Staying up to date with industry regulations and best practices
Contributing to the development of quality assurance tools and training materials

What we're looking for

A registered nurse (USRN) with a minimum of 3 years experience in a quality assurance or similar role
Excellent attention to detail and strong analytical skills
Proficiency in data analysis and reporting
Exceptional communication and coaching abilities
Adaptability and a keen interest in process improvement
Knowledge of healthcare industry regulations and compliance requirements

USRN QUALITY ASSURANCE JOB DESCRIPTION:

Review and verify medical reports for completeness, accuracy, and consistency
Maintain and update documentation in designated systems and databases
Respond to enquiries and manage communications with internal and external stakeholders
Monitor compliance with relevant healthcare regulations and standards
Assist management in identifying and resolving documentation or compliance issues
Ensure timely submission of reports and records in line with organizational deadlines
Collaborate with cross-functional teams to address quality assurance concerns
Flag discrepancies or inconsistencies in documentation and escalate as needed
Participate in audits and support audit preparation efforts
Contribute to continuous improvement initiatives in documentation and quality processes
Participate in identification, conceptualization, implementation and execution of Quality Improvement Plans/Programs (QIP), Inter-Rater Reliability Testing to aid in the general improvement of performance of the staff
Similar work as Tele consults and Clinical Services

QUALIFICATIONS:

PH Registered Nurse
Registered Nurse with current, unrestricted US Registered Nurse license
At least one (1) year of experience in medical account for clerical or administrative support; someone experienced in handling or reviewing medical data or documentation
Should have knowledge in doing QA in Clinical Setting
Proficient in Microsoft Word, Outlook, and Excel
Strong English communication skills both verbal and written; must be comfortable in taking phone calls and high-volume emails.
Strong attention to detail and accuracy; proven ability to prioritize tasks and manage time effectively
Ability to stay focused and adaptable under pressure and shifting priorities
Strong attention to detail and accuracy
Knowledgeable in US Healthcare Law and Care Coordination
w/ BPO Experience and QA Experience
Amenable for Work Onsite Setup
Graveyard Shift

USRN Quality Analyst - BPO Setting - Onsite