Quality Assurance Nurse

🕒 Julho 22

🏄 California – Remoto

🏄 California – Remote

💵 $61.053 - $98.334 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🔧 Engenheiro de QA (Qualidade de Software)

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CorVel Corporation

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 1987

🏥 Saúde

💼 Consultoria

📦 Logística

Healthcare • Consulting • Logistics

A CorVel Corporation é uma empresa de gestão de riscos e serviços de saúde que fornece soluções integradas de sinistros e cuidados para pagadores e empregadores. Especializa-se em gestão de compensação de trabalhadores, responsabilidade civil e invalidez, redes de provedores e farmácias, e soluções alternativas de risco, além de oferecer plataformas tecnológicas que utilizam IA e análise de dados para agilizar a administração de sinistros, melhorar resultados e reduzir custos.

Descrição

• Develop, implement, and provide ongoing quality assurance calibration of processes as well as a case management mentoring, both managed and delivered at the operational level • Educate and equip operations with performance measurement and reporting tools that can be used to objectively measure and grow operations • Provide national account and regulatory quality oversight • As applicable, provide oversight and management of URAC compliance and renewals • Work with executive, general and case management department management to ensure the case management department successfully implemented and is adhering to CorVel standards (including quality assurance, reporting, and management processes) • Work closely with new hires to ensure consistent and full integration/training of all case management managers to CorVel standards as well as training for system usage pertaining to case management and reporting • Identify developmental needs and and participate in training of case management leadership, including the training/re-training of all offices on standards and procedures, and usages of the CorVel case management and reporting system • Develop, run and interpret management reports to ensure the case management operations are utilizing the tools available to manage compliance of services delivery within company standards • Facilitate peer-to-peer quality reviews to ensure delivery of quality case management • Review results and outcomes with general management and case management leadership and develop action plans where warranted • Make recommendations in collaboration with field operations to ensure actions toward improvement are identified • Develop and oversee case management manager mentor program to facilitate the onboarding of new supervision and management to equip field with the tools for compliance and consistency of CorVel standards and procedures • Implementation, oversight and communication of regulatory requirements within case management services to include, state, federal and URAC • Identify trends and recommend action plans to management for continuous process improvement • Ability to travel up to fifty percent of the time

🎯 Requisitos

• Graduate of accredited school of nursing with a diploma/Associates degree (Bachelor of Science degree or Bachelor of Science in Nursing preferred) • 3 or more years of recent clinical experience, preferably in rehabilitation • National certification (CRC, CIRS, CCRN, CVE, CCM, etc.), CCM preferred • Four year degree from an accredited college or university preferred • Certified Trainer and/or Quality Assurance distinction preferred • Four (4) years of case management experience preferred or equivalent experience • Prior quality assurance and/or training a plus • Current RN licensure

🏖️ Benefícios

• Medical (HDHP) w/Pharmacy • Dental • Vision • Long Term Disability • Health Savings Account • Flexible Spending Account Options • Life Insurance • Accident Insurance • Critical Illness Insurance • Pre-paid Legal Insurance • Parking and Transit FSA accounts • 401K • ROTH 401K • paid time off