Clinical QA Nurse Specialist

Vida Health

. Intake, triage, track, and respond to clinical review requests, escalations, and inquiries in accordance with established service level agreements (SLAs) .

Posted 10/23/2026full-timeRemote • United StatesJuniorMid-Level💰 $36 - $38 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical review processes, including analyzing medical records and responding to inquiries while ensuring compliance with clinical guidelines. Proficient in utilizing cloud-based technologies and maintaining accurate documentation in a fast-paced, remote environment.

Highest-signal resume keywords

Active RN Or LPN LicenseClinical Documentation ReviewPatient-Centered SupportCloud-Based Technology ProficiencyStrong Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Record ReviewClinical AnalysisQuality Assurance InitiativesOperational AuditsDocumentation Accuracy

Soft Skills

Organizational SkillsAttention To DetailProblem-Solving AbilityAdaptabilityIndependent Work

Tools & Technologies

SlackGoogle WorkspaceZendeskZoomTelehealth Platforms

Certifications & Qualifications

Active RN LicenseActive LPN License

Industry Keywords

Primary CareFamily MedicineInternal MedicineOutpatient Clinical SettingService Level Agreements

Tech Stack

Tools & technologies

Cloud

About the role

Key responsibilities & impact

Intake, triage, track, and respond to clinical review requests, escalations, and inquiries in accordance with established service level agreements (SLAs)
Review and analyze patient medical records, extracting relevant clinical information for presentation to providers and leadership as needed
Investigate and address clinical escalations originating from members and internal stakeholders
Respond to member inquiries in accordance with Vida clinical guidelines and program requirements
Collaborate with Providers, Clinical Assistants, and cross-functional teams to support continuity of care and resolve member concerns
Monitor cases through resolution and ensure timely follow-up and documentation
Support quality assurance initiatives by identifying trends, process improvement opportunities, and potential member safety concerns
Assist with provider performance monitoring, quality reviews, and operational audits as assigned
Maintain accurate, complete, and timely documentation within required systems
Utilize provider messaging platforms, templates, workflows, and telehealth technologies
Perform duties within scope of practice and in accordance with Vida clinical guidelines
Perform additional responsibilities as needed

Requirements

What you’ll need

Active RN or LPN license in good standing
Minimum of 2 years of experience in a primary care, family medicine, internal medicine, or outpatient clinical setting
Experience reviewing medical records and clinical documentation
Strong written and verbal communication skills
Excellent organizational skills and attention to detail
Proven ability to analyze situations, identify issues, and implement appropriate solutions
Ability to work independently and effectively in a fully remote environment
Strong computer and technology proficiency
Able to efficiently utilize cloud-based technologies including Slack, Google Workspace, Zendesk, Zoom, electronic medical records, and telehealth platforms
Able to navigate multiple systems simultaneously while maintaining accuracy and efficiency
Demonstrated ability to manage multiple priorities in a fast-paced setting
Commitment to providing compassionate, patient-centered support
Able to adapt to evolving workflows, technology platforms, and operational processes