Quality Assurance Specialist

16 hours ago


Costa Mesa, California, United States Hoag Memorial Hospital Presbyterian Full time

Clinical Peer Review Program Manager

**Job Summary**

We are seeking a highly skilled Clinical Peer Review Program Manager to join our team at Hoag Memorial Hospital Presbyterian. As a key member of our quality and risk management department, you will be responsible for developing and coordinating an effective and continuously improving healthcare practitioner peer review program.

**Responsibilities**

* Develop and coordinate an effective and continuously improving healthcare practitioner peer review program
* Coordinate and oversee the process of performing objective medical record review of each case for appropriateness of care based on evidence-based clinical care guidelines
* Lead regular peer review body meetings and ensure follow-up actions on each case are implemented
* Maintain complete and accurate records of peer review activities and develop operational quality indicators
* Assist the Director Clinical Services in preparation of reports and presentations

**Requirements**

* Associate's degree in nursing or another healthcare field
* At least five (5) years clinical experience
* At least one (1) year experience in quality and/or risk management work
* Highly proficient with Microsoft Office suite of products, including Word, Excel, Outlook, and PowerPoint
* Experienced user of Electronic Health Records (EHR)
* Comprehensive knowledge of medical terminology

**Preferred Qualifications**

* Bachelor's degree in nursing or another healthcare related field
* Experience with EPIC
* Experience in database management
* Current licensure as a Registered Nurse in good standing in the State of California
* Certifications Preferred

**About Hoag Memorial Hospital Presbyterian**

Hoag Memorial Hospital Presbyterian is a nonprofit, regional healthcare delivery system in Orange County, California. We deliver world-class, comprehensive, personalized care, consisting of 1,800 top physicians, 15 urgent care facilities, 10 health and wellness centers, and two award-winning hospitals. Our healthcare system is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment.



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