Clinical Quality Assurance Coordinator - Supervisor (32090)

Clinical Quality Assurance Supervisor (RN, LPN, LVN) - 100% Remote

Schedule: Monday-Friday, 8:30 AM-5:00 PM CT (with occasional weekend coverage)
Make an Impact - Lead Quality in Clinical Excellence

Are you a nurse leader passionate about quality, compliance, and driving meaningful outcomes? ExamWorks is looking for a Clinical Quality Assurance Supervisor to lead a Clinical Quality Assurance team in a fully remote environment. In this role, you'll combine your clinical expertise with leadership skills to elevate quality standards, guide a dynamic team, and ensure evidence-based decision-making that directly impacts patient care and client satisfaction.
Why You'll Love This Role

• 100% Remote - work from home, where you're most comfortable
• Consistent Schedule - weekdays with minimal weekend coverage
• Meaningful Impact - help shape quality standards and clinical outcomes
• Leadership Growth - expand your influence and advance your career

Responsibilities may include:

• Coordinate and direct the QA department's daily workflow to ensure all product lines are completed with the highest level of quality in the most effective and efficient manner possible.
• Prioritize and manage the daily workload and ensure the appropriate and equitable distribution of work is maintained in order to achieve goals.
• Monitor work product to ensure clear, concise, evidence-based rationales have been provided in support of all recommendations or determinations and that specific indicators and criteria in accordance with company policy and procedures have been achieved.
• Ensure department compliance of all federal ERISA and state mandates is adhered to at all times.
• Promote effective and efficient utilization of all clinical resources and makes necessary recommendations for improvements to management as needed.
• Ensure all client relationships are maintained and all client specific requirements are met.
• Assist promptly in resolution of any physician and/or customer complaints or quality assurance issues.
• Delegate work as needed and provide backup to all departmental positions as required.
• Provide insight and direction to management on consultant quality, availability and compliance with all company policies and procedures.
• Participate in the development and implementation of policies and procedures in order to promote and achieve the most efficient operation possible.
• Participate in various educational and or training activities as required.
• Perform other duties as assigned.

High school diploma or equivalent required. A minimum of three years related experience; or equivalent combination of education and experience preferred. Knowledge of the insurance industry preferably claims management relative to workers' compensation, no-fault, liability, and disability is preferred. Previous supervisory experience preferred.

• Must possess a working knowledge of medical legal aspects of medical records and health information principles and/or liability.
• Must possess complete knowledge of general computer, fax, copier, scanner, and telephone.
• Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Excel, and the Internet.
• Must be a qualified typist with a minimum of 40 W.P.M.
• Must demonstrate exceptional communication skills.
• Analyzes problems involving multiple interrelated causes.
• Gathers information and applies complex concepts or methods to generate an effective solution.
• Ability to follow instructions and respond to upper managements' directions accurately.
• Must demonstrate accuracy, thoroughness, and responsibility for quality of work, and ability to take initiative to identify improvements. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.
• Must be able to work independently, prioritize work activities and use time efficiently.
• Must be able to take independent actions and calculated risks when needed.
• Must use good judgment and include the appropriate people in the decision-making process.
• Must be able to maintain confidentiality.
• Must be able to demonstrate and promote a positive team -oriented environment.

ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.

ExamWorks, LLC is an Equal Opportunity Employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities and all individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age or any other status protected under local, state or federal laws.

ExamWorks offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.