Clinical Quality Assurance RN

Responsibilities:Carry out quality assurance oversight activities defined in the Client Managed Care National Best Practices and Quality Assurance StandardsConduct regular and systematic review of Managed Care internal and external claim files with focus towards validation of consistent evaluation of evidence-based medicine, comprehensive assessments,...

Responsibilities:Carry out quality assurance oversight activities defined in the Client Managed Care National Best Practices and Quality Assurance StandardsConduct regular and systematic review of Managed Care internal and external claim files with focus towards validation of consistent evaluation of evidence-based medicine, comprehensive assessments,...

**About the Role:**As a Clinical Excellence Coordinator at Gratitude Philippines, you will play a critical role in ensuring the high quality of our healthcare services. Your primary responsibilities will include conducting quality assurance oversight activities, reviewing managed care internal and external claim files, and analyzing quality assurance...

**Job Summary:**We are seeking a highly skilled Senior Quality Assurance Specialist to join our team at Gratitude Philippines. The successful candidate will be responsible for conducting quality assurance oversight activities, reviewing managed care internal and external claim files, and analyzing quality assurance reporting metrics.**Key...

**Quality Assurance Specialist Job Description:**Gratitude Philippines is seeking a dedicated Quality Assurance Specialist to join our team. As a key member of our quality assurance team, you will be responsible for conducting quality assurance oversight activities, reviewing managed care internal and external claim files, and analyzing quality assurance...

Role OverviewThis is an exciting opportunity to join Gratitude Philippines as a clinical appeals specialist. As a key member of our team, you will be responsible for reviewing medical records, making decisions on coverage, and communicating with clients and healthcare providers. To succeed in this role, you will need at least 3 years of experience in...

Gratitude Philippines is seeking a skilled Clinical Experience Specialist to join our team. The successful candidate will have a Bachelor's degree in nursing (BSN) and an active, unrestricted RN license that can be validated through the PRC website.This role requires 1-2 years of relevant clinical experience in medical/surgical departments, including...

Job Description:The Clinical Utilization Review Specialist is a critical role at Gratitude Philippines, responsible for ensuring that medical treatments are necessary and delivered effectively. As a key member of our team, you will work closely with claims adjusters to review treatment authorization requests based on state guidelines and medical...

Quality Assurance SpecialistWe are seeking a Quality Assurance Specialist to join our team. As a Quality Assurance Specialist, you will play a critical role in ensuring the quality and reliability of our systems and applications.Main ResponsibilitiesDevelop and execute quality assurance plans using industry-standard tools and methodologiesAnalyze and report...

At Go-Get Data Consultancy, we are seeking a detail-oriented and experienced ICU RN Auditor to review and assess medical records, coding accuracy, and documentation compliance in intensive care unit (ICU) settings. The ideal candidate will have a strong background in critical care nursing, medical auditing, and regulatory compliance to ensure adherence to...

About the RoleWe are seeking a highly skilled Clinical Training Specialist to join our team at Shearwater CPO® - Home of Clinicians.This is a mid-senior level, full-time position that will be responsible for developing, implementing, and evaluating training activities for our clinicians. The ideal candidate will have strong clinical background in...

Job SummaryGlobe Telecom, Inc. is seeking a qualified Quality Assurance Specialist to join our team. In this role, you will be responsible for ensuring accurate and complete quality metrics for all projects. This includes defining annual testing goals, success measures, and exit criteria, tracking and reporting testing progress, and creating improvement...

Clinical Nurse Consultant Job DescriptionWe are looking for an experienced and empathetic Clinical Nurse Consultant to join our team at Gratitude Philippines. As a key member of our healthcare team, you will provide expert guidance and support to injured employees, employers, and medical providers to achieve optimal return-to-work outcomes.Responsibilities...

Job Title: Quality Assurance ManagerAbout Hunter's Hub, Inc.Hunter's Hub, Inc. is a leading provider of innovative software solutions. We are seeking an experienced Quality Assurance Manager to join our team.Key Responsibilities:Develop and implement quality assurance processes and proceduresLead cross-functional teams to identify and prioritize quality...

About the RoleHunter's Hub, Inc. is looking for a highly skilled Senior Quality Assurance Specialist to lead our quality assurance efforts. This position requires strong analytical and problem-solving skills, as well as excellent communication and collaboration abilities.Key Responsibilities- Develop and implement quality assurance strategies to ensure...

Nityo Infotech is hiring a Senior Quality Assurance Engineer to lead our quality assurance efforts.This is an excellent opportunity for a seasoned professional to take their skills to the next level and make a real impact on our products.As a Senior Quality Assurance Engineer, you will be responsible for developing and implementing quality assurance...

Quality Assurance Manager NeededWe are seeking a highly skilled Assistant Quality Assurance Manager to join our team at Neksjob Philippines. As a key member of our quality assurance team, you will play a vital role in ensuring the excellence of customer interactions across multiple channels.Key ResponsibilitiesMonitor and evaluate the quality of customer...

Job Title: Assistant Quality Assurance ManagerLocation: AuraWork Setup: OnsiteShift: Shifting ScheduleStart Date: ASAPJob Description:The Assistant Quality Assurance Manager is responsible for overseeing the quality of inbound and outbound customer interactions, including telephone calls, emails, and chats, ensuring accuracy and adherence to quality...

Location: AuraWork Setup: Onsite (Shifting Schedule)Start Date: ASAPJob Description:The Assistant Quality Assurance Manager is responsible for overseeing the quality of inbound and outbound customer interactions, including telephone calls, emails, and chats, ensuring accuracy and adherence to quality standards. This role involves documenting quality issues,...

Location: AuraWork Setup: OnsiteShift: Shifting ScheduleStart Date: ASAPJob Description:The Assistant Quality Assurance Manager is responsible for overseeing the quality of inbound and outbound customer interactions, including telephone calls, emails, and chats, ensuring accuracy and adherence to quality standards. This role involves documenting quality...