Clinical Compliance Admin

The Clinical Quality & Operational Risk Management Auditor is responsible for assisting the clinical quality manager with day-to-day tasks to ensure quality throughout the life cycle of candidates who are onboarded and credentialed through our team.

The responsibilities may include but are not limited to the following:

• Perform weekly file audits of consultants cleared the week prior, with volume ranging on a weekly basis
• Meet with CQRM clinical manager weekly to review audit status, updates to processes, and discuss any concerns noted during audits or other assigned tasks
• Communicate efficiently with CQRM clinical manager to determine workload for the week
• Prioritize and organize workload according to deadlines
• Perform one-off back log audits that may arise due to compliance findings
• Report on findings of audits in real time if strong risk is identified that clinical manager may need to intervene on
• Strive to maintain a discrepancy rate of 5% or less during second level review audit performed by clinical manager
• Assist with data clean up
• Additional audit duties as assigned
• Assistance with expiration tracking on a weekly basis, this includes sorting through reports and data, sending out communication notices to consultants with expiring item information and tracking follow ups until completed
• Ordering health screens for expiring credentials through a vendor system and following up in system until completed
• Performing primary source verifications of licensures and certifications to ensure quality standards are met
• Project management support with things such as flu season reporting and management
• Vendor support and escalation resolution
• Bulk business project support