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Utilization Review

Aya Healthcare

Clinical Nurse Reviewer

Saint Peter's is among the few hospitals in the world to have earned its 7th consecutive Magnet® designation and its first Magnet with Distinction designation. The Magnet with Distinction designation is an elite level of this recognition, awarded to organizations that demonstrate exceptional performance in nursing practices and patient outcomes. Our team of award-winning nurses is growing, and we are looking for talented, compassionate RNs to join our team.

The Clinical Nurse Reviewer will:

  • Collect clinical data on variables, including preoperative risk factors, intraoperative variables and 30 day postoperative mortality outcomes for patients undergoing major and minor surgical procedures in both inpatient and outpatient settings.
  • Enter data into the program's database and meet the caseload accrual requirement protocol, validate and submit the data through a secure, Web-based system.
  • Utilize software applications for data collection and analysis.
  • Conduct data audits, as instructed.
  • Meet regularly with the Surgeon Champion and quality team to review results.
  • Actively participate in Quality Improvement activities with staff in the Surgery, Medicine, Nursing, Medical Records, Infection Control, Quality/Patient Safety, and the Information Systems departments to improve patient outcomes.
  • Develop PI plan for department of surgery and anesthesia, collaborate with Chairs of Surgery, Anesthesia, and Director of Quality.

Requirements:

  • Licensed Professional Registered Nurse (NJ).
  • Bachelor of Science degree in Nursing (BSN) is required.
  • Minimum of 1 year experience in one of the following settings: hospitals surgery department, surgery clinic, clinical research, or medical records.
  • Experience in clinical chart review and good communication and relationship building skills are highly desirable.
  • Thorough working knowledge of network database systems and multiple software programs.
  • Position located on-site with limited remote work hours as allowed based on Director's assessment of department need.

We offer competitive base rates that are determined by many factors, including job-related work experience, internal equity, and industry-specific market data. In addition to base salary, some positions may be eligible for clinical certification pay and shift differentials. The salary range listed for exempt positions reflects full-time compensation and will be prorated based on employment status. Saint Peter's offers a robust benefits program to eligible employees that will support you and your family in working toward achieving and maintaining secure, healthy lives now and into the future. Benefits include medical, dental, and vision insurance; savings accounts, voluntary benefits, wellness programs and discounts, paid life insurance, generous 401(k) match, adoption assistance, back-up daycare, free onsite parking, and recognition rewards. You can take your career to the next level by participating in either a fully paid tuition program or our generous tuition assistance program. Learn more about our benefits by visiting our site at Saint Peter's.

Vacancy posted 3 days ago
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