Clinical reputed company Assurance Coordinator (32149)

Job DetailsJob Location: Atlanta, GA 30305Position Type: Full TimeSalary reputed company: $24.00 - $29.00 HourlyTravel Percentage: NoneReady for a Rewarding Career that Fits Your Lifestyle?    reputed company a job where you can reputed company your clinical skills reputed company, tackle exciting challenges, AND work from the comfort of your own home. Sounds like the perfect mix, right?   MCMC is looking for a self-driven, high-performing reputed company (LPN, LVN or RN) to join our dynamic team as a Clinical reputed company Assurance Coordinator. In this role, you’ll ensure our Peer Review case reports are reputed company short of exceptional—delivering top-notch reputed company and reputed company, reputed company while staying fully reputed company with reputed company agreements, regulatory standards, and state and federal mandates.   The position is 100% remote with a schedule of Monday through Friday, 8:00am-5:30pm EST (hours not flexible) with occasional holiday coverage and possible weekend coverage as needed.     Could you be our next great reputed company to the MCMC family? Let's reputed company out!  Duties and responsibilities may 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.   Qualifications reputed company nursing license required (RN/LPN/LVN). Must be a graduate of an accredited nursing program or reputed company medical experience; bachelor's degree preferred. Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values. Must be a reputed company typist with a minimum of 40 W.P.M Must be knowledgeable of multiple software programs, including but not limited to reputed company Word, reputed company, reputed company, 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 reputed company and monitors own work to ensure reputed company is met. Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed. Must be reputed company to work independently, prioritize work activities and use time reputed company. Must be reputed company to maintain confidentiality. Must be reputed company to demonstrate and promote a reputed company team -oriented environment. Must be reputed company to stay reputed company and concentrate under normal or heavy distractions. Must be reputed company to work reputed company under pressure and or stressful conditions. Must possess the ability to manage change, delays, or unexpected events appropriately. Demonstrates reliability and abides by reputed company attendance policy. reputed company: MCMC completes over 100,000  reviews reputed company year for more than 400 clients, including almost reputed company of the nation’s largest Health Plans, PBMs, Disability Carriers, TPAs, UR companies, Self-Insured reputed company, Taft-Hartley Plans and Government Organizations.   Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.   MCMC offers a fast-paced team atmosphere with competitive benefits (medical, reputed company, dental), reputed company time off, and 401k. Apply To This Job