RN Peer Review Analyst, Qualtiy Review, Full Time, Days
About The Position
Responsible for the retrospective review of medical records and compiling data to validate quality of care, appropriateness of care , and accuracy of documentation. RN Peer Review Analyst will audit charts for appropriateness of admission, continued stay, compliance to hospital metrics and to monitor care provided by our caregivers. RN Peer Review Analyst will interact with physicians, nurses and other professionals regarding chart documentation and actively participate in team meetings to help improve charting for physicians and clinical staff. Case found not meeting approved guidelines will be selected for peer review and follow up. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.
Requirements
- Registered Nurse (RN) license
- Experience in quality review or medical record analysis
- Familiarity with hospital metrics and care guidelines
- Strong communication and interpersonal skills for interacting with healthcare professionals
- Ability to participate effectively in team meetings
Responsibilities
- Retrospective review of medical records and compiling data to validate quality of care, appropriateness of care, and accuracy of documentation.
- Audit charts for appropriateness of admission, continued stay, and compliance to hospital metrics.
- Monitor care provided by caregivers.
- Interact with physicians, nurses, and other professionals regarding chart documentation.
- Actively participate in team meetings to help improve charting for physicians and clinical staff.
- Select cases not meeting approved guidelines for peer review and follow-up.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
