Presbyterian Healthcare Services
Regulatory Quality RN Clinical Care-Intermediate
Presbyterian Healthcare Services, Albuquerque, New Mexico, United States, 87101
Regulatory Quality RN Clinical Care-Intermediate
Join to apply for the Regulatory Quality RN Clinical Care-Intermediate role at Presbyterian Healthcare Services.
Pay Range Base pay: $27.92/hr - $42.63/hr. Your actual pay will be based on your skills and experience—talk with your recruiter to learn more.
Recruiter RN Sourcing Recruiter at Presbyterian Healthcare Services.
Job Location and Hours Job is based at Rev Hugh Cooper Admin Center. Work hours: Days.
Overview Presbyterian is seeking a Regulatory Quality RN Clinical Care-Intermediate to investigate complaints alleging inappropriate physical health clinical care or behavior by a physician or other healthcare practitioner. The RN applies her/his knowledge to determine whether the standard of care was met, documents findings, and collaborates with various partner teams.
Ideal Candidate Bachelor’s degree in Nursing; five years of hospital nursing experience; current NM RN license; proficiency with Microsoft Office; strong written communication.
Qualifications
Bachelor’s in Nursing
Five years hospital nursing experience
Current NM RN License
Skills in Outlook, Word, Excel, PowerPoint
Proficiency in writing or professional correspondence
Preferred
Critical Care experience
Complaint Management experience
Quality Improvement experience
Care Coordination / Case Management experience
Responsibilities
Review, respond to, and research complaints related to quality of medical care, ensuring all quality of care issues are identified.
Provide referrals to relevant PHP entities (Legal, Risk Management, Behavioral Health, Credentialing, Critical Incidents, Care Coordination).
Perform Physical Health QOCC Case Management, conduct Practice Pattern Reviews, manage PIPs, conduct Medical Record Reviews.
Prepare and present Medical Director Reviews and QOCC case summaries to the Physical Health PPEC.
Communicate PH PPEC recommendations and manage related recommendations for performance improvement or provider status changes.
Other duties as assigned.
Benefits Comprehensive benefits package including medical, dental, vision, disability, life insurance, and optional voluntary benefits. Employee Wellness Rewards Program offers challenges, webinars, and screenings with incentives.
Employment Details Senior level: Mid-Senior level. Employment type: Full-time. Job function: Health Care Provider. Industry: Hospitals and Health Care.
EEO Statement Presbyterian is an Equal Opportunity Employer: AA/EOE/VET/DISABLED. PHS is a drug‑free and tobacco‑free employer with smoke‑free campuses.
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Pay Range Base pay: $27.92/hr - $42.63/hr. Your actual pay will be based on your skills and experience—talk with your recruiter to learn more.
Recruiter RN Sourcing Recruiter at Presbyterian Healthcare Services.
Job Location and Hours Job is based at Rev Hugh Cooper Admin Center. Work hours: Days.
Overview Presbyterian is seeking a Regulatory Quality RN Clinical Care-Intermediate to investigate complaints alleging inappropriate physical health clinical care or behavior by a physician or other healthcare practitioner. The RN applies her/his knowledge to determine whether the standard of care was met, documents findings, and collaborates with various partner teams.
Ideal Candidate Bachelor’s degree in Nursing; five years of hospital nursing experience; current NM RN license; proficiency with Microsoft Office; strong written communication.
Qualifications
Bachelor’s in Nursing
Five years hospital nursing experience
Current NM RN License
Skills in Outlook, Word, Excel, PowerPoint
Proficiency in writing or professional correspondence
Preferred
Critical Care experience
Complaint Management experience
Quality Improvement experience
Care Coordination / Case Management experience
Responsibilities
Review, respond to, and research complaints related to quality of medical care, ensuring all quality of care issues are identified.
Provide referrals to relevant PHP entities (Legal, Risk Management, Behavioral Health, Credentialing, Critical Incidents, Care Coordination).
Perform Physical Health QOCC Case Management, conduct Practice Pattern Reviews, manage PIPs, conduct Medical Record Reviews.
Prepare and present Medical Director Reviews and QOCC case summaries to the Physical Health PPEC.
Communicate PH PPEC recommendations and manage related recommendations for performance improvement or provider status changes.
Other duties as assigned.
Benefits Comprehensive benefits package including medical, dental, vision, disability, life insurance, and optional voluntary benefits. Employee Wellness Rewards Program offers challenges, webinars, and screenings with incentives.
Employment Details Senior level: Mid-Senior level. Employment type: Full-time. Job function: Health Care Provider. Industry: Hospitals and Health Care.
EEO Statement Presbyterian is an Equal Opportunity Employer: AA/EOE/VET/DISABLED. PHS is a drug‑free and tobacco‑free employer with smoke‑free campuses.
#J-18808-Ljbffr