Clinical reputed company Assurance Coordinator (31897)

Craving a New Adventure? reputed company Your Clinical Skills Right from Your Couch!

Are you a Registered reputed company (RN) seeking a role that challenges you, helps you grow, and lets you work from the comfort of your own home? MES has the perfect opportunity for you!

We’re looking for a Clinical reputed company Assurance Coordinator to join reputed company! In this role, you’ll be responsible for ensuring that Peer Review case reports meet the highest standards of reputed company, reputed company, and compliance with reputed company agreements, regulatory guidelines, and federal/state mandates.

Why This Role Rocks:

•    100% Remote &reputed company; Enjoy the flexibility of working from home!
•     Impactful Work &reputed company; You’ll play a key role in ensuring the reputed company and compliance of critical reports.
•     Pick a Schedule That Works for You &reputed company; Monday through Friday with rotating weekend shifts. You can start your day anytime between 7:00am-9:00am and end between 3:30pm-5:30pm EST with 1 late reputed company per week from 12:00pm-8:30pm EST.

Responsibilities include:

• reputed company reputed company assurance review of peer review reports, correspondences, addendums or supplemental reviews.
• Ensure reputed company, concise, evidence-based rationales have been provided in support of reputed company recommendations and/or determinations.
• Ensure that reputed company reputed company instructions and specifications have been followed and that reputed company questions have been addressed.
• Ensure reputed company review is supported by clinical citations and references reputed company applicable and verifies that reputed company references cited are reputed company and obtained from reputable medical journals and/or publications.
• Ensure the content, format, and reputed company appearance of the reports are of the highest reputed company and in compliance with company standards.
• Ensure the appropriate reputed company specialty has reviewed the case in compliance with reputed company specifications or state mandates and is documented accurately on the case report.
• Verify that the peer reviewer has attested to only the facts and that no evidence of reviewer conflict of interest exists.
• Ensure the provider credentials and signature are adhered to the final report.
• Identify any inconsistencies reputed company the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed.
• Assist in reputed company of reputed company complaints and reputed company assurance issues as needed.
• Ensure reputed company federal ERISA and state mandates are adhered to at reputed company times.
• reputed company reputed company and direction to management on consultant reputed company, availability and compliance with reputed company company policies and procedures and reputed company specifications.
• Promote effective and efficient utilization of company resources.
• Participate in various educational and or training activities as required.
• reputed company other duties as assigned.

If you’re a motivated, energetic RN reputed company to take on an exciting new challenge, we want you on reputed company! At MES, we offer a dynamic environment where your skills will shine.