RN Quality Assurance
RN Quality Assurance
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Job Description
LMR Technical Group (LMR) is seeking an RN Quality Assurance.
Multiple positions may be hired from this announcement.
Location: Remote within the United States.
Job Description:
The RN Quality Assurance will navigate and work within a proprietary electronic medical record system to evaluate and process patient health information to determine outcomes for various types of medical and specialty exams. Incumbent will conduct a clinical review of a variety of examination documentation test results assessments and information and by corroborating via phone interview with Service Members and Veterans provide a clear comprehensive and concise final product. The RN Quality Assurance will utilize clinical judgement to identify quality assurance issues and make recommendations to reconcile documentation. Incumbent will collaborate with providers Veterans and Service Members via the nurse call line to ensure examination meets regulatory and contractual requirements for compensation and benefit rating purposes. The incumbent will possess the ability to shift focus and multitask while maintaining professional demeanor to meet customer and provider needs. The RN Quality Assurance will identify emergent behavioral health issues and initiate intervention when necessary.
Duties and Responsibilities:
- Remain up to date with the contract requirements.
- Use clinical judgement to ensure a clear comprehensive and concise exam documentation that is reflective of the patients service level conditions and in compliance to contract requirements.
- Interpret and document diagnostic test results.
- Educate and support providers Veterans and Service Members with navigating and utilizing medical history information and prior disability claims when completing the appointment paperwork.
- Answer calls that come into the Clinical Operations Review queue in regards to medical or specialty exams and provide exemplary service to providers with appointment questions.
- Identify and evaluate exam documentation that requires immediate follow up for behavioral health issues and initiate the high risk intervention process.
- Complete system generated tasks to process exam documentation.
- Interface via telephone (up to 75%) and e-mail with contracted providers Veterans and Service Members in retrieval of required Disability Benefits Questionnaire information and provide education regarding required contractual protocol.
- Other related duties as assigned.
Required Qualifications:
- Accredited Associates Degree in Nursing (ADN) OR Bachelors Degree in Nursing (BSN).
- Current RN license in your state of residency.
- 2 years of experience in a clinical environment as a Registered Nurse.
- Experience working in an Electronic Medical Record system.
- Understanding/knowledge of regulatory standards and their application to various examinations and documents.
- Proficient computer skills including Microsoft Office programs and database experience.
- Ability to work MTWRF 8:00am to 5:00pm CT OR 10:00am-7:00pm CT.
- Distraction-free dedicated space in home for home office; this includes establishing or continuing regular child or dependent care arrangements.
- Access to high-speed internet (cable fiber optic).
- Must be legally authorized to work in the United States without the need for employer sponsorship now or at any time in the future.
Preferred Qualifications:
- Ability to type 40 words per minute.
- Experience navigating Microsoft Teams.
- Home Health or Hospice care experience.
- Experience reviewing medical disability claims.
- Knowledge or experience in:
- Clinical quality assurance
- Auditing and compliance
- Education of clinical staff
- Clinical documentation improvement.
- Experience with Behavioral Health TBI PTSD and/or working with Veterans.
- Military experience.
Work Environment:
- Business casual is required and attire should be appropriate for video meetings.
- A private secure workspace is required for this role.
- Work must be performed at the address on file. Traveling with equipment is not allowed and is considered a HIPAA violation.
- A hardwired internet connection is required with minimum speeds of 20 Mbps download / 5 Mbps upload.
Physical Demands:
- Remain in a stationary position (seated) for extended periods up to 8 hours per day.
- Use a computer and related peripherals (keyboard mouse monitor) for prolonged periods
- Perform repetitive motions such as typing and data entry.
- Occasionally lift or move office items up to 10 pounds (e.g. computer equipment).
- Communicate effectively via video conferencing phone and messaging platforms
Working Hours:
- 3 - 4 weeks of training: Monday through Friday from 8:00 - 5:00 Central Time.
- Post training shift: Monday through Friday 8:00 a.m. - 5:00 p.m. or 10:00 a.m. - 7:00 p.m. Central Time.
Expected Pay Range:$36.00 - 38.50 per hour. Rate will be based on job-related knowledge skills education training and work location.
*This job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required by this position.
To perform this job successfully an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Benefits Include:
- Medical Dental and Vision Insurance
- Life AD&D and Short-Term Disability Insurance
- 401(k)
- Paid Time Off
- Paid Holidays
- Employee Assistance Program
About LMR:
LMR is a service-disabled veteran-owned small business that supports technology development and provides comprehensive joint warfighter training by leveraging the skills experience and knowledge of its personnel.
LMR Technical Group is an equal opportunity employer and does not discriminate on the basis of any legally protected status or characteristic. Protected veterans and individuals with disabilities are encouraged to apply.
If you are a qualified applicant with a disability in need of an accommodation to complete the application process please contact us at . EOE Disability/Veteran.
Employee Polygraph Protection Act Poster
Employment Type
Full-Time
