JOB REQUIREMENTS: Remote Case Coordinator Requisition ID 2024-10918 #
of Openings 1 Category General and Administration Location US-WI-Madison
Overview ExamWorks is looking for a Remote Case Coordinator to join our
team! The Case Coordinator is responsible to ensure reports are of the
highest quality and integrity and in full compliance with client
contractual agreement, regulatory agency standards and/or federal and
state mandates. This position is required to assist with quality
assurance questions and provide overall support to the Quality Assurance
Department. The schedule for this role is Monday-Friday 9:00am-5:30pm
CST. Responsibilities ESSENTIAL DUTIES AND RESPONSIBILITIES TO PERFORM
THIS JOB SUCCESSFULLY INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING:
Performs quality assurance review of reports, correspondences, addendums
or supplemental reviews. Ensures clear, concise, evidence-based
rationales have been provided in support of all recommendations and/or
determinations. Ensures that all client instructions and specifications
have been followed and that all questions have been addressed. Ensures
each review is supported by clinical citations and references when
applicable and verifies that all references cited are current and
obtained from reputable medical journals and/or publications. Ensures
the content, format, and professional appearance of the reports are of
the highest quality and in compliance with company standards. Ensure
that the appropriate board specialty has reviewed the case in compliance
with client specifications and/or state mandates and is documented
accurately on the case report. Verifies that the peer reviewer has
attested to only the fact(s) and that no evidence of reviewer conflict
of interest exists. Ensures the provider credentials and signature are
adhered to the final report. Identifies any inconsistencies within the
report and contacts the Peer Reviewer to obtain clarification,
modification or correction as needed. Assists in resolution of customer
complaints and quality assurance issues as needed. Ensures all federal
ERISA and/or state mandates are adhered to at all times. Provides
insight and direction to management on consultant quality, availability
and compliance... For full info follow application link. It is the
policy of ExamWorks Group, Inc. and its subsidiaries to employ qualified
persons of the greatest ability without discrimination against any
employee or applicant for employment because of race, religion, color,
sex, physical or mental disability, national origin, age, status as a
disabled veteran, a recently separated veteran, an Armed Forces service
medal veteran or other protected veteran or any other protected group
status and further, to take affirmative action to employ and advance in
employment qualified minorities, women, disabled persons, disabled
veterans, recently separated veterans, Armed Forces service medal
veterans or other protected veterans ***** APPLICATION
INSTRUCTIONS: Apply Online: ipc.us/t/3B1A094FD0A34583