Medical Quality Assurance Specialist

Company: Maxim Healthcare
Location: San Antonio
Posted on: May 5, 2021

Job Description:

Case Management opening in San Antonio, Texas. This and other lpn/lvn jobs brought to you by NursingJobCafe.com Maxim Healthcare Services is currently seeking Medical Quality Assurance Specialist to provide services at our client clinic in support of Veteran Affairs.


Summary: Under close supervision, performs a variety of activities to ensure accuracy and completeness of medical documentation and evaluation processes through the various training phases. Reviews and develops information for processes and diagnosis based on training and knowledge of medical processes and procedures performed. Tracks and controls non-conformance documents, reviews anomalies and contacts medical professionals for clarification with Quality Specialist. Reviews final documentation for accuracy and obtains finalization from medical professionals.


Education and/or Experience: (includes certificate & licenses) • High School diploma, or equivalent (GED) • Vocational training in specific aspects of job functions and/or demonstrated ability to perform assigned tasks, preferably in a medical related area of study (i.e. LVN, LPN, EMT, MA, Military Medic, etc.). • 0 to 1 year of experience in healthcare, medical, or insurance related industries • Direct healthcare experience in medical case management or quality assurance to include the review of complex multi-focal medical reports for quality, clarity, thoroughness and insightful medical explanation • Experience with case management software, electronic medical records and medical databases



Competencies: • Working knowledge and understanding of medical terminology, anatomy and physiology • Ability to work independently and with team members at all levels of the organization • Excellent verbal and written communication skills • Proven ability to organize, plan, coordinate and multi-task • Able to work with a high sense of urgency and follow through while maintaining professional composure • Ability to investigate, fact find and provide evidence towards case resolution • Working computer skills • Proven analytical skills • Must possess the ability and flexibility to work early morning, evening, and/or weekend shifts



Essential Duties and Responsibilities: • Responsible for satisfactory completion of Medical Quality Assurance Training Program • Provide quality assurance for general medical and specialty examination reports • Responsible for the timeliness and quality of medical reports • Interface with physicians and healthcare extenders and provide case specific feedback as necessary • Meet personal productivity and quality goals • Other projects and duties as assigned


Pay: $18.30/hour





For further information and/or to apply to this opportunity, please contact a Recruiter at or email your resume to Keyphrases: medical case management jobs, case manager jobs, case manager consultant jobs, case management consultant jobs, geriatric case management jobs, case management nursing jobs, nurse case manager jobs

Keywords: Maxim Healthcare, San Antonio , Medical Quality Assurance Specialist, Healthcare , San Antonio, Texas