RN Quality Coordinator Physician Peer Review
HCA Healthcare
Stroke response times nearly half of the national average. Cutting-edge SPOT Technology that detects sepsis earlier than the human eye. An Enhanced Surgical Recovery program that reduces opioid prescriptions and post‑surgical readmissions. As a national learning health system, we’re transforming care delivery, advancing clinical outcomes, and empowering our nursing teams in a collaborative effort to give people a healthier tomorrow. Join us! Job Summary and Qualifications Full Time Day shift position, 8:00am - 5:00pm Monday - Friday As a Coordinator in Performance Improvement, you will be responsible for providing PI support and leadership to various clinical and nonclinical service lines, participating in Core Measure concurrent and retrospective review, facilitating PI and Core Measure teams, and coordinating all aspects of the medical staff peer review process. Responsibilities Identifying and coordinating activities geared toward improved patient care processes and outcomes Collaborating across the organization with appropriate leaders to develop metrics, data collection methodologies Providing analysis to achieve department and organizational performance improvement goals Developing reports that support PI activities Supporting patient safety program (e.g., management of sentinel events and root cause analysis, national patient safety goals, and integration of initiatives within existing programs such as NQF Safe Practices and medication safety) Maintaining communication with administration, medical staff and departmental leaders regarding PI activities Qualifications Graduate of an accredited school of professional nursing BSN required within 24 months of hire Current RN license in the State of TX or compact license Minimum of 1 year experience in a similar position in an acute care facility required Benefits Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support, including free counseling and referral services Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Equal Employment Opportunity Statement We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. #J-18808-Ljbffr HCA Healthcare
- ...Friday * As a Coordinator in Performance... ...and retrospective review, facilitating PI and... ...the medical staff peer review process.... ...of hire( Current RN license in the State... ...more than 1,500 physicians, many are recognized... ...for our RN Coord Quality Perf Imp opening....SuggestedFull timeTemporary workMonday to FridayFlexible hoursDay shift
- ...mandated turnaround times. Our reviewers are compensated on a per-case... .... Job Summary Our Physician Reviewers need to have strong... ...professional association guidelines and peer-reviewed literature that... ...and responding to quality assurance issues, complaints,...SuggestedFor contractorsWork experience placementRemote work
- ...accomplished Board Certified physician in one of the below specialties... ...on clinical background, reviews health claims providing medical... ...Medical Director to discuss quality of care and credentialing and... ...professional association guidelines and peer reviewed literature that...SuggestedTemporary workFor contractorsLocal areaRemote workMonday to FridayFlexible hours
$29.05 - $67.97 per hour
...experience, responsible for review of documentation to... ...Identifies and reports quality of care issues.... ...utilization management, CMOs, physicians and member/provider inquiries... ...support to clinical peers. Identifies and refers... .... Registered Nurse (RN). License must be...SuggestedHourly payWork experience placementWork at office- Overview Medical Review Institute of America (MRIoA) is a nationally... ...determinations. Position Physician Advisor (UM Medical Director)... ...across multiple specialties. Peer‑to‑peer discussions with treating... ..., accreditation, and internal quality standards. Participate in peer...SuggestedFull timeRemote workFlexible hoursShift workWeekend work
- Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift:... ...management, and collaboration with physicians, case managers, and... ...physician statements, and peer‑to‑peer review input for... ...Reporting, Compliance & Quality Monitor, track, and analyze...Full timeLocal areaShift work
- HCA Healthcare in Dallas, Texas is looking for a full-time Coordinator in Performance Improvement. This position involves providing PI support... ...be a graduate from an accredited nursing school with a current RN license and at least 1 year of relevant experience....Full time
- ...differential pay for select roles We are looking for a Senior Quality Coordinator to join our Quality team on our project in Dallas, TX. This... ...internal and external team members, to provide document review, coordination, and implementation during construction and...Full timeFor contractorsFor subcontractorWork at officeNight shiftAfternoon shift
- ...In this role, you will monitor all quality activities on a project and ensure compliance... ...in design phase activities and document reviews. You should understand design documents... ...of 10-50 pounds. Requires good hand-eye coordination, and arm, hand and finger dexterity, including...For subcontractorWork at office
- ...PRN Utilization Review RN - M-F Days Must be available to work... ...recommend level of care to the physician and serve as a resource to... ...order sets to influence high-quality and cost-effective care.... ...person to physicians, care coordinators, physician offices and billing...Full timeReliefWork at officeLocal areaMonday to FridayNight shift
- ...Purpose A Registered Nurse (RN) with 2 years of... ...professional practice model to coordinate patient care delivery, that... ...nurses, attending physicians and residents providing medical... ...examinations. Participates in SANE Peer Review and quality assurance /performance...Full timeTemporary workTraineeshipWork at officeNight shift
- ...you a passionate and dedicated Clinical Quality Specialist who is looking for a full-time... ...involve data abstraction, quality reviews, QAPI support, and collaborating with clinical... ...to implement best practices Lead and coordinate quality improvement projects, ensuring...Full timeTemporary workLocal area
- ...Job Description Job Description Job Title: Quality Coordinator II Locations: Multiple Locations Available Job Summary: Provides... ...work in place Assists teams with plan and constructability reviews Read and understand specifications, reference codes and...Contract workWork experience placementFor subcontractorLocal area
- A telehealth review company is seeking a Physician Reviewer to evaluate insurance appeals and claims. This remote role requires candidates to hold licenses... ...their caseload and adhere to turnaround times while ensuring quality assessments. #J-18808-Ljbffr Dane Street, LLCRemote jobFlexible hours
- Dane Street is seeking a Physician Reviewer for a telework opportunity in Dallas, Texas. This role involves reviewing medical records for insurance appeals and providing expert interpretations concerning medical necessity. Candidates must hold necessary licenses in NM,...Remote jobFlexible hours
- ...CDI Quality Review Nurse With over 75 years of excellence in Dallas... ...Licenses and Certifications (RN) REGISTERED NURSE Upon Hire... ...opportunity is identified, place physician query and follow up for... ...opportunity is identified, coordinate with Coding Team to review and...Full timeRemote workShift work
- A leading medical research center in Dallas seeks a qualified medical certification professional to conduct reviews for medical necessity. The role demands extensive nursing experience, collaboration with medical staff, and the ability to recommend levels of care based...Relief
- ...Utilization Review Nurse for Workers' Comp... ...appropriate, or prepare a case for peer review referral. Coordinates information between all parties (injured worker, physicians, employer, therapists, attorney... ...school Valid current RN license in good standing...
- A healthcare organization in Texas is seeking an RN Utilization Review Coordinator to perform utilization reviews and ensure medical necessity compliance. The role involves collaborating with healthcare teams, managing denial appeals, and supporting discharge planning....Full time
- ...Addison, TX seeks an experienced Registered Nurse (RN) to oversee the Case Management team focusing on Utilization Review. Responsibilities include managing... ...compliance with regulations, and improving care coordination. Candidates must have an RN license with a BSN...Full time
- ...days of hire). • Current RN license in the State of... ...staff, ensuring the quality and integrity of care delivered... ...goals of the unit. • Coordinates and facilitates... ...projects. • Participates in peer interviews and provide... ...by Becker’s Hospital Review , 2023 ~ Top 10...Full timeShift workRotating shift
- ...of hire). • Current RN license in the State of... ...departmental staff, ensuring the quality and integrity of care... ...goals of the unit. • Coordinates and facilitates... ...projects. • Participates in peer interviews and provide... ...by Becker’s Hospital Review , 2023 ~ Top 10...Full timeShift work
- ...Expertise Protects Patient Care Regulatory Review Specialist (RN) – Home Office (Remote)Who We Are... ..., and inspired. At VitalCaring, quality and compliance are more than requirements... ...operations. In this role, you will coordinate and compile documentation for payer...For contractorsRemote workHome officeFlexible hours
- ...Responsibilities: Reviews prior authorization and... ...necessity. Performs peer to peer calls as... ...disease management and quality management activities... ...define acceptability of physician performance, conducts... ...PCHP members including coordination of care between the Medical...Permanent employmentLocumLocal areaRemote workWeekend work
- ...panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.... ...Independent Medical Examinations (IMEs) and peer review services, trusted by insurance... ...organizations across the country for objective, high-quality medical evaluations. Key...Contract workFlexible hours
- ...Dane Street is expanding our physician panel! We are seeking a skilled... ...of independent contract reviewers (1099) compensated on a per-case... ...Medical Examinations (IMEs) and peer review services, trusted by... ...country for objective, high-quality medical evaluations. Key Responsibilities...Contract workFlexible hours
- ...mandated turnaround times. Our reviewers are compensated on a per-case... ..., MN, and/or NC License. Physician Specialties: Radiation... ...professional association guidelines and peer-reviewed literature that... ...identifying and responding to quality assurance issues, complaints,...For contractorsRemote work
- ...group in Dallas is looking for a Third Party Processing Coordinator to oversee loan processing quality and train loan processors. The ideal candidate will... ...attention to detail. Responsibilities include reviewing loan quality reports, providing customer service, and...
- ...PURPOSE Oversees medical coordination required for effective utilization and quality management of the health plan... ...UM committee preferred. Peer Review, medical policy/procedure development... ...and define acceptability of physician performance and evaluates the...Contract workWork at officeLocal areaRemote work
- PT Remote Physicians Nationwide (All Specialties) Job Openings... ...advancing access, quality, and convenience.... ...visits and asynchronous reviews. Take focused histories... ...state/federal rules. Coordinate referrals, collaborate... ...quality reviews and peer collaboration. How to...Hourly payRemote work
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