Utilization Review RN - Risk Management
About The Position
The Peer Review RN facilitates the design, implementation, and ongoing evaluation of the physician peer review program and nursing peer review process in collaboration with physician and nursing leaders. The role requires strong clinical analytical and problem-solving skills, along with the ability to prioritize and manage multiple time-sensitive deliverables. The position screens hospital incident reports, mines other reports and databases, and performs case reviews based on Federal, State, and National guidelines. In partnership with Quality, Safety, and Risk caregivers, the RN facilitates medical staff and nursing leadership action plans designed to address performance trends involving peer review and/or event investigations. The position is with St Joseph Medical Center and is part of Providence. Providence describes its culture as patient-focused, whole-person care built on understanding, commitment, and mutual respect, and emphasizes empowering caregivers. The company says its benefits are designed to support employees and families in staying well, growing professionally, and achieving financial security.
Requirements
- Bachelor's Degree in Nursing.
- California Registered Nurse License upon hire.
- 3 years of acute care clinical practice experience.
- Strong clinical analytical skills.
- Problem-solving skills.
- Ability to prioritize and manage multiple time-sensitive deliverables.
Nice To Haves
- Master's Degree in Nursing.
- Certified Professional in Healthcare Quality (CPHQ), or equivalent, upon hire.
- Peer Review experience.
Responsibilities
- Facilitate the design, implementation, and ongoing evaluation of the physician peer review program and nursing peer review process in collaboration with physician and nursing leaders.
- Screen hospital incident reports and mine other reports and databases.
- Perform case reviews based on Federal, State, and National guidelines.
- Facilitate medical staff and nursing leadership action plans, in collaboration with Quality, Safety, and Risk caregivers, to address performance trends involving peer review and/or event investigations.
- Prioritize and manage multiple time-sensitive deliverables.
Benefits
- Benefits designed to support employees and their families in staying well, growing professionally, and achieving financial security.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
