Group Health QA Supervisor - RN - Remote

Overview

The QA Supervisor is responsible for the oversight of the review of Physician reports and accompanying medical records to ensure that the report is complete, accurate, and consistent with medical evidence.

In Short

• Ensure appropriate QA staff are assigned to each file to designate file handling responsibilities amongst the team.
• Supervise the assigned staff and manage the File Review Board to ensure a timely and accurate process of each file.
• Provide details of board reviews to managers to ensure efficiency and productivity of staff.
• Assist in identifying & correcting staff performance including promotions, discipline, coaching and termination of staff.
• Assist in hiring qualified candidates for QA open positions.
• Follow up with Physicians for outstanding reports.
• Review received reports for accuracy.
• Deliver completed reports back to all applicable parties.
• Ensure referrals meet the client-directed Turn Around Time (TAT).
• Act as the liaison between the reviewer, team member and client regarding the process or status of the file.

Requirements

• Registered Nurse (RN) license required.
• Experience in Quality Assurance processes.
• Strong supervisory and team management skills.
• Excellent communication skills.
• Ability to work collaboratively with physicians and staff.

Benefits

• Competitive salary.
• Health benefits.
• Professional development opportunities.
• Supportive work environment.