Nurse Quality Analyst I
- Employer
- York Risk Services Group
- Location
- Clearwater, Florida
- Salary
- Not Specified
- Closing date
- Mar 5, 2019
View more
- Category
- Health and Medical , IT
- Job Type
- Not Specified
- Career Level
- Not Specified
Job Details
At York, we believe that an experience marked by expertise, consistency and compassion sets us apart. And we celebrate the diverse backgrounds and unique perspectives that allow us to stand apart from our competitors. Thats why we are committed to recruiting, developing and retaining people who represent our values and who believe in our mission.
Job Description
.
Responsible for the quality assurance of clinical reviews by reviewing cases completed by the physician consultants. Interact with clients, physician/allied health reviewers and all levels of company personnel.
Responsibilities:
- Ensure that turnaround times are met with a quality review.
- Draw on a wide range of clinical expertise to edit/provide credible case narratives in response to client questions.
- Communicate with clients and expert reviewers, as necessary to track reviews. Follow-up with the client for input/clarification concerning the case review.
- Perform and maintain accurate computer case records.
- Act as a Liaison between the Physician/Allied Health Reviewers, Account Managers and Customer Service Representatives to ensure that daily operations are client-specific.
- Participate in the continuous quality improvement (CQI) process by identifying and reporting quality issues as established by existing protocol.
- Work with management to oversee, monitor and improve quality of services provided in all business lines. This includes participating in policy and procedure development for the case review program.
- Participate in preceptorship and training of new and existing staff as assigned by management.
- Other duties as assigned.
- Computer skills required
- Able to set multiple priorities
- Able to work in a fast paced environment
- Proven decision making abilities
- Excellent written and verbal communication skills
- Excellent interpersonal skills
- Excellent Problem solving skills
- Excellent Client Relation Skills
- Excellent customer service skills
Experience
- Nursing degree: LPN or LVN
- 1+ industry related experience (specifically UM)
- Experience in utilization review/health care industry helpful
Company
For more than 55 years, York has been delivering on our mission of reducing risk and getting people and organizations back to health, work and productivity. We’re committed to recruiting, developing and retaining people who represent our values and who believe in our mission. Our associates come from all walks of life but are single-minded in the pursuit of doing right by those we serve. We want each experience for our clients to be marked by expertise, consistency, and compassion because that’s what sets us apart. And we know for certain that it’s our people who allow us to say, boldly and proudly, that York is behind every good outcome.
- Website
- https://yorkrsg.com/careers/
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