Peer Review Nurse
About The Position
Located in the heart of Central California, Madera Community Hospital is a General Acute Care, private, not-for-profit hospital dedicated to improving and maintaining the health and wellness of residents throughout the Central Valley. We are committed to identifying and serving our community's needs with compassion, concern, care and safety for every patient. Madera Community Hospital is a growing acute care facility seeking talented individuals with a drive to provide quality care and dedicated to making a difference in our community. Position Summary: The Peer Review Nurse will evaluate clinical documentation, patient charts, and care processes to ensure they meet quality standards, regulatory requirements, and medical necessity. Will identify opportunities to improve care, reduce risk, and prepare data for medical staff review committees. Will conduct comprehensive reviews of Electronic Medical Records (EMR) to assess the appropriateness and timeliness of care provided. Identifies trends, risks, and variations in clinical performance, preparing summary reports for committees. Will facilitate the peer review process and attend peer review meetings. Part Time Position with flexible schedule.
Requirements
- Requires completion of Registered Nurse program, prefer BSN.
- Requires Minimum 5 years clinical nursing experience, including experience in quality improvement and utilization review.
- Requires proficiency in data abstraction, EHR systems, and critical thinking.
- Requires Current State of California Board of Registered Nursing License, Current American Heart Association BCLS certificate.
Nice To Haves
- BSN
Responsibilities
- Evaluate clinical documentation, patient charts, and care processes to ensure they meet quality standards, regulatory requirements, and medical necessity.
- Identify opportunities to improve care, reduce risk, and prepare data for medical staff review committees.
- Conduct comprehensive reviews of Electronic Medical Records (EMR) to assess the appropriateness and timeliness of care provided.
- Identifies trends, risks, and variations in clinical performance, preparing summary reports for committees.
- Facilitate the peer review process and attend peer review meetings.
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What This Job Offers
Job Type
Part-time
Career Level
Mid Level
Education Level
Associate degree
Number of Employees
101-250 employees
