Registered Nurse Quality Reviewer

Job Summary

A company is looking for a Clinical Quality Reviewer.

Key Responsibilities

• Review medical documentation for compliance with clinical standards and organizational guidelines
• Manage clinical help desk system and provide education to providers on documentation standards
• Develop standardized checklists and QA workflows to enhance internal scalability

Required Qualifications

• Active license as a Registered Nurse (RN) or relevant clinical license
• 3+ years of experience in clinical documentation, chart review, or quality assurance
• Strong understanding of VA disability claims process and evidentiary requirements
• Experience with CRM, EHR, or care management platforms
• Ability to interpret medical terminology