Clinical Quality Assurance Specialist (RN/LPN)
About the role
This is a Contract to Hire position based out of Houston, TX. 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.
Responsibilities
- Performing quality assurance reviews of peer review reports, correspondence, addendums, and supplemental reviews
- Ensuring recommendations and determinations are supported by clear, evidence-based rationales
- Verifying adherence to client specifications, regulatory guidelines, and contractual requirements
- Reviewing clinical citations and references for relevance, accuracy, and credibility
- Ensuring reports meet quality, formatting, and professional standards
- Confirming the appropriate clinical specialty reviews are completed and documented accurately
- Identifying discrepancies, omissions, or inconsistencies and coordinating corrections when needed
- Aiding in quality assurance concerns, compliance questions, and issue resolution
- Sustaining adherence to federal and state healthcare regulations
- Collaborating with internal teams to maintain exceptional quality standards
- Participating in ongoing training and professional development activities
Requirements
- Active RN or LPN background or equivalent clinical documentation experience
- Experience reviewing clinical documentation, medical records, or healthcare reports
- Strong professional writing and editing skills
- Strong attention to detail and critical thinking skills
- Ability to manage deadlines and maintain high levels of accuracy
- Ability to work independently in a remote environment
- Reliable and self-motivated work style
Qualifications
- Preferred: Experience in healthcare quality assurance, utilization review, compliance, or peer review environments
- Familiarity with regulatory and healthcare documentation standards
- Experience evaluating clinical reports for accuracy and completeness
Skills
- Excellent written communication skills
- Ability to identify inconsistencies and resolve issues efficiently
- Thrives in a structured, deadline-driven environment
- Values healthcare quality, compliance, and integrity
- Excels while working independently in a remote setting
Benefits
- 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)
Pay and Benefits
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.
Schedule
Four 10-hour shifts each week, assigned shift between 6:00 AM and 7:00 PM CST. Enjoy three consecutive days off every week. Training conducted on the same schedule.
Work-life balance
Enjoy a 4-day work week.
About TEKsystems
We are 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.
About TEKsystems Global Services
We are 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.