Remote Clinical Quality Assurance Specialist

Clinical Quality Assurance Coordinator (RN/LPN Required)

Make an Impact on Healthcare Quality

Are you a detail-oriented Registered Nurse (RN) or Licensed Practical Nurse (LPN) with a passion for quality, compliance, and clinical excellence? We are seeking a Clinical Quality Assurance Coordinator to join our growing team and play a vital role in ensuring the accuracy, integrity, and compliance of clinical peer review reports.

This position is ideal for a nursing professional who enjoys analyzing clinical documentation, collaborating with medical professionals, and helping maintain the highest standards of healthcare quality.

What You'll Do

As a Clinical Quality Assurance Coordinator, you will be responsible for reviewing clinical reports and ensuring compliance with client requirements, regulatory standards, and company quality expectations.

Key Responsibilities

• Perform comprehensive quality assurance reviews of peer review reports, correspondence, addendums, and supplemental reviews.
• Verify that all recommendations and determinations are supported by clear, concise, evidence-based clinical rationale.
• Ensure client instructions, specifications, and case questions have been fully addressed.
• Review clinical citations and references for accuracy, relevance, and currency.
• Ensure reports maintain the highest standards of professionalism, quality, formatting, and presentation.
• Verify appropriate physician specialty reviews are completed in accordance with client requirements and state mandates.
• Confirm reviewer attestations, provider credentials, signatures, and conflict-of-interest requirements are properly documented.
• Identify report inconsistencies and collaborate with peer reviewers to obtain clarifications, corrections, or modifications.
• Support the resolution of client concerns and quality assurance issues.
• Ensure adherence to federal ERISA regulations, state mandates, and internal compliance standards.
• Provide feedback to leadership regarding consultant quality, compliance, and availability.
• Participate in training, educational opportunities, and quality improvement initiatives.
• Assist with additional projects and duties as assigned.

Required Qualifications

Must Have

• Current, active RN or LPN license required
• Strong clinical knowledge and understanding of medical terminology and healthcare documentation
• Exceptional attention to detail and analytical skills
• Ability to work independently and manage priorities effectively
• Strong written and verbal communication skills
• Reliable, organized, and self-motivated professional

Preferred Qualifications

• CPC (Certified Professional Coder) certification
• Medical coding or healthcare documentation review experience
• Prior quality assurance, utilization review, peer review, case management, or clinical compliance experience
• Knowledge of ERISA, regulatory compliance, and healthcare quality standards

Key Skills

• Clinical Quality Assurance
• Medical Record Review
• Healthcare Compliance
• CPC Coding
• Clinical Documentation Review
• Quality Improvement
• Regulatory Compliance
• Utilization Review
• Case Review
• Medical Terminology
• Attention to Detail
• Independent Decision-Making

Why Join Us?

✅ Utilize your nursing expertise in a non-bedside role

✅ Work with a collaborative and mission-driven healthcare team

✅ Gain exposure to quality assurance and clinical compliance processes

✅ Build valuable experience in peer review and healthcare quality management

✅ Opportunity for professional growth and development

Experience Level: Entry-Level to Early Career

Required License: Active RN or LPN License

This is a Contract to Hire position based out of Rockford, IL.

The pay range for this position is $26.50 - $28.50/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

This is a fully remote position.

This position is anticipated to close on Aug 28, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.