Clinical QA Nurse Specialist

🕒 6 days ago

🇺🇸 United States – Remote

💵 $36 - $38 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔧 QA Engineer (Quality Assurance)

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Vida Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2014

🏥 Healthcare

🍽️ Food & Beverage

💼 Consulting

Healthcare • Food & Beverage • Consulting

Vida Health is a company committed to improving health outcomes for various physical and mental health conditions, including diabetes, obesity, depression, and hypertension. They offer personalized, human-led care combined with digital technology to manage and treat these complex conditions. Vida Health partners with employers, health plans, and consultants to provide comprehensive health solutions. Their services include video chats and text-based messaging with healthcare providers, and they utilize machine learning and synced devices to personalize member care. They focus on significant cost savings and improved health outcomes for cardiometabolic conditions, guaranteeing results and offering up to 100% of fees at risk for both physical and mental healthcare.

📋 Description

• Intake, triage, track, and respond to clinical review requests, escalations, and inquiries in accordance with established service level agreements (SLAs) • Review and analyze patient medical records, extracting relevant clinical information for presentation to providers and leadership as needed • Investigate and address clinical escalations originating from members and internal stakeholders • Respond to member inquiries in accordance with Vida clinical guidelines and program requirements • Collaborate with Providers, Clinical Assistants, and cross-functional teams to support continuity of care and resolve member concerns • Monitor cases through resolution and ensure timely follow-up and documentation • Support quality assurance initiatives by identifying trends, process improvement opportunities, and potential member safety concerns • Assist with provider performance monitoring, quality reviews, and operational audits as assigned • Maintain accurate, complete, and timely documentation within required systems • Utilize provider messaging platforms, templates, workflows, and telehealth technologies • Perform duties within scope of practice and in accordance with Vida clinical guidelines • Perform additional responsibilities as needed

🎯 Requirements

• Active RN or LPN license in good standing • Minimum of 2 years of experience in a primary care, family medicine, internal medicine, or outpatient clinical setting • Experience reviewing medical records and clinical documentation • Strong written and verbal communication skills • Excellent organizational skills and attention to detail • Proven ability to analyze situations, identify issues, and implement appropriate solutions • Ability to work independently and effectively in a fully remote environment • Strong computer and technology proficiency • Able to efficiently utilize cloud-based technologies including Slack, Google Workspace, Zendesk, Zoom, electronic medical records, and telehealth platforms • Able to navigate multiple systems simultaneously while maintaining accuracy and efficiency • Demonstrated ability to manage multiple priorities in a fast-paced setting • Commitment to providing compassionate, patient-centered support • Able to adapt to evolving workflows, technology platforms, and operational processes

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