Job summary
Job post source
This job is directly from MES Solutions
Job overview
The Clinical Quality Assurance Nurse Auditor at MES Solutions evaluates clinical information and ensures high-quality, compliant reporting to support client and regulatory requirements.
Responsibilities and impact
The role involves reviewing and writing clinical reports, performing quality assurance on peer reviews, ensuring compliance with client instructions and mandates, resolving quality issues, and supporting the Quality Assurance Department.
Experience and skills
Requires a Bachelor or Associate degree in nursing or related field, RN/LPN license, and experience with medical terminology and treatment protocols; insurance industry experience preferred.
Company overview
MES Solutions is a leading provider of independent medical examinations (IMEs) and peer review services, primarily serving insurance companies, law firms, and third-party administrators. They generate revenue by offering expert medical opinions that help clients make informed decisions regarding claims and legal cases. Founded in 1978, MES Solutions has grown through strategic acquisitions and a commitment to quality and compliance, establishing a robust network of medical professionals across various specialties. Their services are crucial in resolving disputes and ensuring accurate assessments in the insurance and legal industries.
How to land this job
Tailor your resume to emphasize your nursing credentials (RN/LPN license) and your experience with clinical quality assurance, medical record reviews, and report writing, highlighting familiarity with medical terminology, medications, and treatment protocols.
Highlight your ability to ensure compliance with client contractual agreements, regulatory standards, and federal/state mandates, as well as your experience with quality assurance processes and resolving customer complaints.
Apply through multiple channels such as MES Solutions' corporate career page, LinkedIn job postings, and relevant healthcare job boards to maximize your application visibility.
Connect with current MES Solutions employees in the Quality Assurance or Clinical divisions on LinkedIn; use ice breakers like commenting on recent company quality initiatives or asking about their experience working on clinical audits and compliance.
Optimize your resume for ATS by including keywords from the job description such as 'clinical quality assurance,' 'medical record reviews,' 'ERISA compliance,' 'peer review reports,' and 'evidence-based rationales' to increase chances of passing automated screenings.
Use Jennie Johnson's Power Apply feature to automate tailoring your resume, applying through multiple sites, and identifying LinkedIn contacts to network with, allowing you to focus your energy on preparing for interviews and professional development.
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