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Utilization Review RN - Risk Management

Job Description - Utilization Review RN - Risk Management

Description

The Peer Review RN is responsible for facilitating the design, implementation and the ongoing evaluation of the physician peer review program and nursing peer review process in collaboration with physician leaders and nursing leaders. This position requires strong clinical analytical skills, problem solving skills, ability to prioritize and manage multiple time-sensitive deliverables. Position screens hospital incident reports and mines other reports and databases as well as perform needed case reviews based on Federal, State and National guidelines. With the Quality, Safety and Risk caregivers, facilitates medical staff and nursing leadership action plans on designs and implements to address trends in performance involving peer review and/or event investigations.




 Providence caregivers are not simply valued – they’re invaluable. Join our team at St Joseph Medical Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.




 Required Qualifications:  



  • Bachelor's Degree in Nursing.

  • California Registered Nurse License upon hire.

  • 3 years Acute care clinical practice experience.


Preferred Qualifications: 





  • Master's Degree in Nursing.

  • Certified Professional in Healthcare Quality (CPHQ), or equivalent upon hire.

  • Peer Review experience

     




Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.


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