Case Review RN - Quality & Performance Analyst

Tuba City Regional Health Care Corporation; Tuba City (AZ); Presencial; USD 85 000 - 110 000; Tempo integral

Resumo da oferta

Tuba City Regional Health Care Corporation seeks a Registered Nurse with advanced quality management experience to analyze medical staff data, support peer review activities, and enhance patient safety. You will coordinate data collection, trend analysis, and reporting while supporting professional practice evaluations.

Responsibilities include reviewing records for care appropriateness, resolving complaints, and collaborating with medical staff and risk management to improve care standards.

Qualificações

• Bachelor's in nursing and MBA or similar master's in healthcare.
• Active, unrestricted RN license in the U.S. or territories.
• 5 years supervisory experience in discharge planning, case management, or utilization review.

Responsabilidades

• Review patient records to assess appropriateness and cost-effectiveness of care.
• Resolve complaints and refer complex cases to risk management.
• Conduct chart reviews for quality, timeliness, and appropriateness of care.
• Refer cases to physician advisors for review and determination.
• Lead or support utilization review and quality improvement committees.
• Collaborate to promote continuity of patient care and education.

Conhecimentos

Supervisory experience

Quality monitoring

Data analysis

Communication skills

Clinical leadership

Formação académica

Bachelor's degree in nursing

MBA or healthcare master's

Ferramentas

Microsoft Office

Excel

PowerPoint

Descrição da oferta de emprego

Tuba City Regional Health Care Corporation seeks a Registered Nurse with advanced quality management experience to analyze medical staff data, support peer review activities, and enhance patient safety. You will coordinate data collection, trend analysis, and reporting while supporting professional practice evaluations.

Responsibilities include reviewing records for care appropriateness, resolving complaints, and collaborating with medical staff and risk management to improve care standards.