Current jobs related to Rn, Coordinator Quality Peer Review - Long Beach - Memorial Care
-
RN, Quality Peer Review Coordinator
2 weeks ago
Long Beach, California, United States Long Beach Memorial Medical Center Full timeJob SummaryWe are seeking a highly skilled RN, Quality Peer Review Coordinator to join our team at Long Beach Memorial Medical Center. In this role, you will play a critical part in ensuring the highest quality patient care by coordinating the evaluation of quality patient care data and physician peer review of identified variances.Key...
-
RN, Coordinator Quality Peer Review
4 months ago
Long Beach, United States Long Beach Memorial Medical Center Full timeDescription Title: RN, Coordinator Quality Peer Review Location: Long Beach Department: Q uality Assurance Status: Full-time Shift: Day Pay Range* : $53.97/hr - $78.24/hr MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care,...
-
Peer Review Quality Coordinator
4 weeks ago
Long Beach, California, United States Long Beach Memorial Medical Center Full timePosition OverviewJob Title: Quality Peer Review CoordinatorLocation: Long BeachDepartment: Quality AssuranceEmployment Type: Full-timeWork Schedule: Day ShiftCompensation: $53.97/hr - $78.24/hrAt Long Beach Memorial Medical Center, we are committed to delivering exceptional healthcare services. As a part of our nonprofit integrated health system, we value...
-
RN, Quality Peer Review Coordinator
6 days ago
Long Beach, California, United States Long Beach Memorial Medical Center Full timeJob SummaryWe are seeking a highly skilled RN, Quality Peer Review Coordinator to join our team at Long Beach Memorial Medical Center. This is a challenging and rewarding role that requires strong analytical and communication skills.Key ResponsibilitiesConduct thorough reviews of patient care data to identify areas for improvement and develop strategies for...
-
Nurse Coordinator for Quality Review
3 weeks ago
Long Beach, California, United States Long Beach Memorial Medical Center Full timePosition OverviewJob Title: Quality Assurance RN CoordinatorLocation: Long BeachDepartment: Quality AssuranceEmployment Type: Full-timeWork Schedule: Day ShiftCompensation: $53.97/hr - $78.24/hrAt Long Beach Memorial Medical Center, we are committed to delivering exceptional healthcare services. As a part of our nonprofit integrated health system, we value...
-
Quality Assurance RN Coordinator
3 weeks ago
Long Beach, California, United States Long Beach Memorial Medical Center Full timeJob Title: Quality Review CoordinatorLocation: Long BeachDepartment: Quality AssuranceEmployment Type: Full-timeWork Schedule: Day ShiftCompensation: $53.97/hr - $78.24/hrAt Long Beach Memorial Medical Center, we are committed to delivering exceptional healthcare services and value the contributions of our team members in enhancing our innovative care...
-
Trauma Services RN Coordinator
4 weeks ago
Long Beach, California, United States MemorialCare Health System Full timePosition Title: Trauma Services RN Coordinator Location: Long Beach, CA Department: Trauma Center Status: Full-time Shift: Days Pay Range*: $56.13/hr - $81.37/hr At MemorialCare Health System, we are committed to delivering exceptional healthcare to our communities while fostering a supportive environment for our staff. MemorialCare embodies excellence in...
-
Residential Quality Reviewer
3 weeks ago
Rehoboth Beach, Delaware, United States 2M Quality Full timeThis position is a part-time, independent contractor role.Work is scheduled on weekends, typically within appointment windows that last around 4 hours.Key Responsibilities:Conducting appointments and capturing images (approximately 3-5 photos per property) of the mechanical room. (Each review generally takes between 5 to 10 minutes to finalize)Traveling to...
-
Residential Quality Reviewer
4 weeks ago
Rehoboth Beach, Delaware, United States 2M Quality Full timeThis position is a part-time, independent contractor role.Work is scheduled primarily on weekends, within designated appointment slots (typically lasting around 4 hours).Key Responsibilities:Conducting site visits and capturing images (approximately 3-5 photos per property) of the mechanical room. (Each review generally takes between 5 to 10 minutes to...
-
Clinical Review Specialist
5 days ago
Long Beach, California, United States Saviance Technologies Full timeJob SummaryWe are seeking a skilled Clinical Review Specialist to join our team at Saviance Technologies. As a key member of our Utilization Management team, you will play a critical role in ensuring that our members receive the right care at the right time.Key ResponsibilitiesConduct daily reviews and evaluations of members requiring hospitalization and/or...
-
Clinical Review Coordinator
10 hours ago
Daytona Beach, Florida, United States UnitedHealth Group Full timeOptum Home & Community Care: Revolutionizing HealthcareAt Optum Home & Community Care, we're pioneering a new approach to healthcare. By integrating industry-leading solutions, we're creating a holistic care model that addresses the physical, mental, and social needs of individuals. Our goal is to provide seamless care navigation, empowering patients to...
-
Fire Safety Plans Reviewer
3 weeks ago
Long Beach, California, United States The California State University Full timePosition Overview The California State University, Office of the Chancellor, is in search of a Fire Plans Examiner responsible for executing plan evaluations to guarantee adherence to fire and life safety regulations and standards as mandated by the Office of the State Fire Marshal (OSFM). This role will also ensure alignment with CSU internal...
-
Medical Necessity Reviewer
3 weeks ago
Long Beach, California, United States Saviance Technologies Full timeJob Summary:Saviance Technologies is seeking a highly skilled Care Review Clinician I to join our Utilization Management team. As a key member of our team, you will be responsible for conducting inpatient medical necessity and utilization reviews, ensuring our members receive appropriate care when they need it.Key Responsibilities:Conduct thorough reviews...
-
Clinical Review Specialist
2 weeks ago
Long Beach, California, United States Saviance Technologies Full timeJob SummarySaviance Technologies is seeking a skilled Clinical Review Clinician I to join our team. As a key member of our Utilization Management team, you will play a critical role in ensuring that our members receive the right care at the right time.Key ResponsibilitiesConduct daily review and evaluation of members requiring hospitalization and/or...
-
Fire Safety Plans Reviewer
4 weeks ago
Long Beach, California, United States The California State University Full timePosition Overview The California State University, Office of the Chancellor, is in search of a Fire Plans Examiner to perform comprehensive plan evaluations to ensure adherence to fire and life safety regulations and standards as mandated by the Office of the State Fire Marshal (OSFM). This role will also ensure alignment with CSU internal guidelines...
-
RN Care Coordinator
1 month ago
Long Beach, United States Unavailable Full timeOverview CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our...
-
RN Care Coordinator
3 days ago
Long Beach, California, United States Unavailable Full timeOverviewCommonSpirit Health is a leading healthcare provider with a strong commitment to building healthy communities and advocating for those in need. With a presence in nearly every state, our organization is dedicated to delivering high-quality care and innovative solutions to meet the evolving needs of our patients.ResponsibilitiesThe RN Care Coordinator...
-
RN Care Coordinator
2 days ago
Long Beach, California, United States Unavailable Full timeOverviewCommonSpirit Health is a leading healthcare provider with a strong commitment to building healthy communities and advocating for those in need. With a presence in nearly every state, our organization is dedicated to delivering high-quality care and innovative solutions to meet the evolving needs of our patients and communities.ResponsibilitiesThe RN...
-
Peer Navigator, Street Medicine Professional
4 days ago
Long Beach, California, United States HealthCHEC Full timeJob SummaryWe are seeking a highly motivated and compassionate Peer Navigator to join our Street Medicine team. As a Peer Navigator, you will play a critical role in supporting individuals experiencing homelessness in the Long Beach, CA area. Your primary responsibility will be to provide peer support, education, and navigation services to help members...
-
Care Review Clinician I
4 months ago
Long Beach, United States Saviance Technologies Full timeWorks with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior...
Rn, Coordinator Quality Peer Review
4 months ago
**Title**:RN, Coordinator Quality Peer Review
**Location**:Long Beach
**Department: Q**uality Assurance
**Status**:Full-time
**Shift**:Day
**Pay Range**: $53.97/hr - $78.24/hr
MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups - consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.
Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.
**Position Summary**
Coordinates evaluation of quality patient care data and physician peer review of identified variances by organized committees of the medical staff at Long Beach Medical Center and Miller Children's and Women's Hospital.
**Essential Functions and Responsibilities of the Job**
- Conducts primary or secondary screening of patient care variances to identify those cases warranting physician review. Evaluates variance of montioring functions to identify those meeting criteria for physician review (mortality, morbidity, blood usage, infection, adverse drug reactions, unusual occurrences). Initiates periodic physician review of screening criteria to validate currency, relevance and appropriateness. Coordinates statistical process review of selected diagnoses and procedures for medical staff review.
- Prepares individual case referrals for physician review with appropriate supporting, background documentation. Works through medical staff coordinator to facilitate timely referrals, initiate measures to promote a thorough physician review with an objective outcome. Attends multidisciplinary medical staff peer review committee meetings as cases are presented and reviewed. Enters outcomes of physician peer review into appropriate software system. Provides summary reports to medical staff committees, as well as physician specific reports for credential committee and physician profiles.
- Liaison with Quality Department and External Payors as needed to orchestrate response to quality issues identified by external payors, disseminate information in a timely manner, and assist with continuous readiness activities.
- Participates and contributes to the design/maintenance of QI software for tracking and retrieval of quality information. Provides timely, accurate input on peer review and focus study process. Initiates revisions of ineffective or impractical indicators.
- Maintains high level of confidentiality in issues identified and referred, medical record review process, results of review, and discussions during medical staff committee meetings.
- Performs other duties as assigned.
- _Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. _Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more..._Check out our _MemorialCare Benefits _for more information about our Benefits and Rewards._
