RN, Coordinator Quality Peer Review
1 week ago
Job Title: RN, Coordinator Quality Peer Review
Job Summary:
As a RN, Coordinator Quality Peer Review at Long Beach Memorial Medical Center, you will play a vital role in ensuring the highest quality patient care. You will be responsible for coordinating the evaluation of quality patient care data and physician peer review of identified variances by organized committees of the medical staff.
Key Responsibilities:
- Conduct primary or secondary screening of patient care variances to identify those cases warranting physician review.
- Evaluate variance of monitoring functions to identify those meeting criteria for physician review (mortality, morbidity, blood usage, infection, adverse drug reactions, unusual occurrences).
- Prepare individual case referrals for physician review with appropriate supporting, background documentation.
- Attend multidisciplinary medical staff peer review committee meetings as cases are presented and reviewed.
- Enter outcomes of physician peer review into appropriate software system.
- Provide summary reports to medical staff committees, as well as physician specific reports for credential committee and physician profiles.
Requirements:
- Minimum 3 years' acute hospital setting experience preferred.
- UR/QA/QI/RM/Case Management experience.
- Knowledge of various agencies and regulations pertaining to TJC, CMS, CDPH, CCS, Medi-Cal, IMQ, etc.
- Expertise with computer applications/software i.e., Excel, QualCare, Crimson.
Education/Licensure/Certification:
- Current Registered Nurse (RN) license in state of California required.
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