Clinical Quality Assurance Coordinator - Toronto, Canada - North York Rehabilitation Centre

North York Rehabilitation Centre

Verified Company

Toronto, Canada

2 weeks ago

Posted by:

Sophia Lee

beBee Recruiter

Description

Overview:

NYRC is looking for a
Clinical Quality Assurance Coordinator to join our team

The
Clinical Quality Assurance Coordinator is responsible to ensure Medical Examination reports are of the highest quality and integrity and in full compliance with client contractual agreement, regulatory agency standards and/or federal and provincial mandates.

This position is required to comply with quality assurance policies and prodcures in the Quality Assurance Department.

Qualifications:

EDUCATION AND/OR EXPERIENCE
Post secondary degree or equivalent required. A minimum of two years clinical or related field experience; or equivalent combination of education and experience.

Knowledge of the insurance industry preferably claims management relative to one or more of the following categories:
catatrophic determination, post-104 IRB, medical legal, workers' compensation, and/or disability. Certification or training in AMA Guides an asset.

QUALIFICATIONS

Must have strong knowledge of medical terminology, anatomy and physiology, medications and laboratory values.
Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; Ability to compute rates and percentages.
Must be able to operate a general computer, fax, copier, scanner, and telephone.
Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
Must possess excellent skills in English usage, grammar, punctuation and style.
Ability to follow instructions and respond to the management team's directions accurately.
Demonstrates accuracy and thoroughness. Looks for ways to improve and promote quality and monitors own work to ensure quality is met.
Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
Must be able to work independently, prioritize work activities and use time efficiently.
Must be able to maintain confidentiality.
Must be able to demonstrate and promote a positive team oriented environment.
Must be able to stay focused and concentrate under normal or heavy distractions.
Must be able to work well under pressure and or stressful conditions.
Must possess the ability to manage change, delays, or unexpected events appropriately.

About Us:

North York Rehabilitation Centre Corp. (NYRC) is a Canadian company that has evolved from a privately owned, multidisciplinary rehabilitation facility to a national leader in the provision of independent medical evaluation (IME) services.

Founded in 1991, NYRC is a nationally recognized brand name with a strong Canada-wide network and a reputation as one of the country's top independent medical evaluation companies.

Since its inception, NYRC has excelled at producing high quality, accurate, defensible, and objective reports authored by expert examiners.

NYRC 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, colour, religion, sex, sexual orientation, gender identity, national or

Responsibilities:

ESSENTIAL DUTIES AND RESPONSIBILITIES TO
PERFORM THIS JOB SUCCESSFULLY INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING:

Performs quality assurance review of complex reports
post 104, catastrophic determination, medical legal
Ensures clear, concise, evidencebased 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 examiner 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 assessor to obtain clarification, modification or correction as needed.
Assists in resolution of customer complaints and quality assurance issues as needed.
Provides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.
Promote effective and efficient utilization of compa