Clinical Resource Nurse: Quality & Performance Improvement

Med Center Health; Franklin (KY); On-site; USD 70,000 - 95,000; Full time

Job summary

Med Center Health seeks a Clinical Resource Nurse to lead performance improvement and quality reviews at our rural Kentucky facility. You will review patient data to assess admission appropriateness and medical necessity, help determine DRG/LOS, and facilitate continuing care planning with the Director of Patient Care Services.

Responsibilities include producing monthly performance reports, leading PI meetings, and educating staff on documentation requirements.

Qualifications

• One year clinical nursing experience with demonstrated leadership.
• Leadership experience in quality management and infection prevention preferred.
• Case Management, Utilization Review and/or Coding experience preferred.
• Graduate of a Nursing Program; RN license in Kentucky required.

Responsibilities

• Oversees performance improvement processes and quality reviews.
• Reviews medical data to assess admission appropriateness and DRG/LOS decisions.
• Generates monthly statistics and reports on performance improvements.
• Leads Performance Improvement meetings and collaborates with staff and committees.
• Educates staff on medical necessity documentation; may perform infection prevention and staff education.
• Maintains wound care reviews and coordinates related meetings.

Skills

Leadership

Quality management

Performance Improvement

Data analysis

Collaboration

Education

Graduate of a Nursing Program

Job description

Med Center Health seeks a Clinical Resource Nurse to lead performance improvement and quality reviews at our rural Kentucky facility. You will review patient data to assess admission appropriateness and medical necessity, help determine DRG/LOS, and facilitate continuing care planning with the Director of Patient Care Services.

Responsibilities include producing monthly performance reports, leading PI meetings, and educating staff on documentation requirements.