Medical Peer Review Coordinator (RN-Medical Staff Office)
Aiken Regional Medical Centers
Medical Peer Review RN - Medical Staff Office Aiken Regional Medical Centers, located in Aiken, South Carolina, is a 273-bed acute care facility providing top quality and safe healthcare to the residents of Aiken and surrounding communities since 1917. Aiken Regional Medical Centers has been ranked a top hospital in South Carolina by the American Heart Association for its treatment of heart attack, heart failure and Stroke, and most recently, coronary artery disease. Additionally, Aiken Regional provides comprehensive healthcare services such as behavioral health (Aurora Pavilion Behavioral Health), emergency medical care (main hospital and ER at Sweetwater), orthopedic surgeries, maternity, rehabilitation services(Hitchcock Rehabilitation Services), imaging, and wound care. Visit us online at: Position Description This position is responsible for the overall coordination, facilitation and direction of activities associated with the medical peer review process. This includes working collaboratively and regularly with members of the Medical Peer Review Committee and the Medical Staff Services Director in reviewing, revising and refining the process of medical peer review in order to maintain a timely, multidisciplinary, and confidential approach which meets all state and other regulatory guidelines. Collaborates with the Medical Staff Coordinator to facilitate OPPE/FPPE. Duties Facilitates, as necessary, concurrent peer review process with the department manager and physician chair or designee. Prepares a summary report of concurrent review conclusions for presentation to MPRC. Coordinates with Medical Records for data/record retrieval for retrospective peer review process. Maintains up-to-date knowledge of issue being reviewed in order to facilitate accuracy and appropriateness of review. Performs Level I Medical Peer Reviews, documents summary of case review. Facilitates the referral of issues to the appropriate physicians, clinical administrative, and ancillary areas for implementation of necessary improvements/recommendations of MPRC. Coordinates with Medical Staff Services for flow of information/reporting of peer review results to reach medical staff development. Collaborates with Medical Staff Coordinator to facilitate OPPE/FPPE Performs other duties as assigned. Benefit Highlights Unlimited Employee Referral Bonus Program Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans Tuition/Certification Reimbursement after 6 months Culture of Excellence - Employee Recognition program Challenging and rewarding work environment Clinical Nursing Ladder opportunities SoFi student loan refinancing program 401(K) with company match and discounted stock plan Career development opportunities within UHS and its 300+ Subsidiaries! More information is available on our Benefits Guest Website: uhsguest.com About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Qualifications Requirements Degree in accredited Registered Nursing Program; BSN required. Minimum of 3-5 years in an acute care setting, with comprehensive knowledge of a broad range of medical diagnoses, treatment modalities, therapeutic services, and intervention techniques; also familiar with performance improvement strategies and Joint Commission standards. Current SC or compact state license. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. #J-18808-Ljbffr Aiken Regional Medical Centers
- Aiken Regional Medical Centers in Aiken, SC, seeks an experienced Medical Peer Review RN to coordinate and direct activities of the medical peer review process. You will work with... ...Medical Peer Review Committee and Medical Staff Services Director to ensure timely,...Suggested
$63.1k - $94.65k
...current compact RN license, or be... ...Our Utilization Review team provides... ...and/or business office regarding billing... ...party payers Medical Necessity Determination... ...management staff and relevant... ...Management Coordinates the P2P process... ...collaboratively with peers to achieve...Work at officeFlexible hoursShift work- ...and teaching. * Associates Diploma in Nursing, required; Current RN License in NY (in good standing). * Minimum of one year of clinical... ...in a Certified Home Health Agency. * Knowledge of Microsoft Office and experience documenting in a clinical software system preferred...Work at officeRelocation package
$26.14 - $56.64 per hour
...and outpatient clinical claim review activities. Verifies that coded... ...and billed charges. Assesses medical records for clinical accuracy,... ...experience. Registered Nurse (RN). License must be active and... ...communication skills. Microsoft Office suite and applicable software...Work at officeHourly payWork experience placement- ...clinic hours. Documents review of systems; measures... ...updates past and current medical, social and family history... ...triage per specific office protocol procedures. Returns... ...that only a LPN or RN is licensed to... ...effectively communicates with peers, utilizes appropriate channels...Work at office
- ...s Hospital has an opportunity for a Medical Staff Services Coordinator. Responsibilities will include managing... ...support within the medical staff office. Hybrid opportunity with expectations... ...credentialing documents and reviews applications to ensure privileges requested...Work at officeContract workFlexible hours
$71.08k
...oriented Clinical Case Coordinator for our Pretrial... ...participants to review supervision... ...Brooklyn Community Office and fieldwork in the... ...Flexibility: Hybrid: Staff may work remotely... ...health providers, peer-run providers, education... ...providers, medical care providers, and...Work at officeRemote workMonday to FridayShift work1 day per week$25 per hour
...IN 46227, USA Description Medical Records Coordinator Opportunity at Bethany Village... ...) or a Registered Nurse (RN). Position is full-time... ...will work with physicians, office staff, nursing management and staff... ...further information, please review the Know Your Rights notice...Work at officeFull timePart time- St. Louis Children's Hospital is seeking a Medical Staff Services Coordinator to manage the credentialing and privileging process for medical staff and... ...administrative support within the medical staff office. The position is a hybrid opportunity with expectations to...Work at office
- ...KNOWLEDGE & SKILLS: Understanding of Itemization Review for designated clients Understanding of... ...environment Proficiency with Microsoft Office Suite, including Excel, Outlook, Teams... ...in Nursing or higher Experience in medical bill auditing preferred but not mandatory...Work at officeMinimum wageFull timeLocal areaFlexible hours
- ...currently hiring for a Regular Full-Time Professional Staff Nurse, ONC (RN) to float between our Medical Oncology offices located east of the greater Pittsburgh, PA area.... ...understanding of cultural differences and holds peers accountable for healthy relationships. Maintains...Work at officeFull timeCurrently hiringRelocation packageMonday to Friday
- Job Specific Competencies The Medical Staff Coordinator obtains necessary information to complete appointment and reappointment processes, maintains... ...-contact insurance company Verification Education- Obtain/Review Peer References Obtain/ Hospital Affiliations. Initial...Local areaFlexible hoursShift work
$22 - $31.9 per hour
Medical Staff Coordinator Full-time Regular London, OH, US 5 days ago Requisition ID: 1535 Salary Range... ...completes pathology and operative review, mortality review and chief of staff report... ...tracking provider education, peer reviews, and performance evaluations....Hourly payFull time- ...one of Idaho's best places to work--is looking to hire a Medical Staff Coordinator to join our team. The Medical Staff Coordinator plays an... ...credentialing and privileging, medical staff governance, peer review administration, provider recruitment and onboarding support...Temporary work
$95.06k
...The Case Manager RN supports the physician... ...integrates and coordinates utilization management... ...Collaborates with medical staff, nursing staff,... ...issues to Case Review, Utilization Committee... ...from business office. Maintains a level... ...meetings of regional peer organizations...Work at office$100k - $115k
Job Type: Officer of Administration Bargaining Unit:... ...surgery, theClinical Nurse Coordinator III,RNwillbe expected... ..., dilute, and draw up medications as needed for use in... ...; perform CPR. Attend staff meetings, patient... ...Current New York State RN license. Other Requirements...Work at officeTemporary workLocal area$20 - $22 per hour
...Are you an outstanding Medical Assistant with a... ...and escorts them in for office visits with the physician... ...Collection After receiving and reviewing laboratory orders,... ...to work well with peers while ensuring a... ...dexterity, and eye-hand coordination. Requires standing and...Work at officeHourly payDaily paidLocal area- El Centro Regional Medical Center in El Centro, CA, seeks a Medical Staff Services Assistant to support the Medical Staff... ...phones, schedule meetings, coordinate call schedules, prepare monthly... ...Diploma or equivalent, Microsoft Office experience, and at least one year...Work at office
- ...hiring for an LPN/Medical Assistant/EMT.... ...and perform routine office procedures and testing... ...direction of RN or MD. Assure patients... ...and technical staff. Solve problems... ...AIMS assessment. Review charts for the... ...status and assist in coordination of urgent and non-...Work at officeWork experience placementCurrently hiringLocal areaRelocation package
- ...Purpose: Performs concurrent reviews, including determining member'... ...care being delivered, evaluating medical necessity, and contributing to... ...- State Licensure required RN - Registered Nurse - State Licensure... ...with remote, hybrid, field or office work schedules. Actual pay...Work at officeFull timePart timeRemote workWork from homeMonday to FridayFlexible hours
- ...Per Diem Medical Assistant (FGP) - Greenpoint... ...and administrative staff, escalate issues... ...Answers phone calls Reviews and respond to inbasket... .../concerns to RN/Provider. Assists... ...communication with peers and supervisors related... ...Central Billing Office team members to support...Work at officeDaily paid
- We are seeking a Clinical Coordinator to assist with all clinical needs for our Macon... ...will be working in the Macon office daily. This is a full-time, salary-... ...function(s). Areas of Responsibility: Review and organize patient medical records in preparation for visits....Work at officeFull timeMonday to FridayFlexible hours
- ...effective instruction for the Medical Sonography curriculum and for planning and coordination of student clinical... ...(CAAHEP) and the Joint Review Committee on Education... ...Maintains regular office hours Assists with tracking... ...the various college staff, faculty, students and...Work at officeFull timePart timeInternshipImmediate startAfternoon shift
- ...chief complaint, past medical surgical, social,... ..., Kaspers, etc.) Review and update... ...urinalysis, and other in office laboratories... ...and non-clinical staff. All employees must... ...communication and coordination to provide high quality... ...administration, and peers QUALIFICATION...Work at officeLocal areaFlexible hours
- ...Practical Nurses in physician offices play an essential role in... ...benefits package that may include medical, dental, vision, paid time... ...the practice's patient panel, coordinates messages through electronic portals... ...medical home activities by reviewing charts for gaps in care,...Work at officeFull timeShift workDay shift
$43.52 - $58.88 per hour
Infusion/Advice RN for GI in NE Portland... ...Category : Clinical Staff Requisition Number... ...and administering IV medication and treatment.... ...the Gateway Medical Office Building. Typical hours... ...Patients and peers recognize The Oregon... ...information, please review the Know Your Rights...Work at officeHourly payFull timePart timeLocal areaImmediate startFlexible hoursShift work- ...a full-time Clinical Coordinator to join our team! This... ...lifespan. Must have RN licensure. Position Responsibilities... .... Interacts with staff, patients, peers, and others in a... ...current nursing and medical practice. Provide... ...with Microsoft Office and the Internet. Demonstrated...Work at officeFull timeLive in
- ...nursing department as a Clinical Coordinator/Office Nurse. This office-based... ..., scheduling, and billing staff. Take new referrals and assist... ...process. Collect and review required clinical and referral... ...in the agency’s electronic medical record system. Follow HIPAA...Work at office
- ...clinical oversight and case review are assigned based on... ...detox unit counseling staff. POSITION SUMMARY The Behavioral Health Coordinator provides operational... ...leadership for the Acute Medical Detox Unit. This role... ...systems and Microsoft Office Suite. Strong written...Work at officeFull timeMonday to FridayAfternoon shift
- About This Role The Clinical Review Nurse-Concurrent Review performs... ...of stay Collaborate with Medical Affairs and/or Medical Directors... ...preferred Licenses & Certifications: RN (Registered Nurse) - State... ...(remote, hybrid, field, or office) About Centene Centene is a leading...Work at officeFull timeRemote workMonday to FridayFlexible hoursWeekend work
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