RN Professional Practice Quality Reviewer (Full Time, Days)

Pscfl; Naples (FL); Presencial; USD 75 000 - 110 000; Tempo integral

Resumo da oferta

PSCFL seeks an RN Professional Practice Quality Reviewer to oversee OPPE and FPPE processes, ensuring regulatory compliance, credentialing support, and high-quality patient care. The role collaborates with medical staff, hospital leadership, and QA teams to monitor practitioner performance and maintain accreditation requirements.

The position emphasizes data-driven reviews, report preparation, and involvement in quality improvement initiatives.

Qualificações

• BSN required with active RN license in Florida or multi-state compact (eNLC).
• 1-3 years in healthcare quality and 3-5 years in clinical nursing.
• Ability to interpret clinical data and ensure regulatory compliance.

Responsabilidades

• Oversee OPPE and FPPE processes to ensure regulatory compliance and support credentialing.
• Collaborate with Quality Improvement Analyst to prepare performance metrics and reports.
• Prepare quantitative data, reports, and presentations for committees and leadership.
• Attend committees supporting quality improvement initiatives and document minutes.
• Prepare professional practice reviews with the Quality Department and Medical Staff Administration.
• Monitor data and trends, and manage data abstraction and entry for national collaborations.
• Communicate with clinical disciplines and physician advisors to clarify criteria.

Conhecimentos

Communication skills

Analytical skills

Data management

EMR data extraction

Formação académica

BSN

Ferramentas

MS Office

SharePoint

Excel

Visio

PowerPoint

Descrição da oferta de emprego

Description

The RN Professional Practice Quality Reviewer is responsible for overseeing the Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) processes to ensure compliance with regulatory standards, supports credentialing, and promotes high‑quality patient care. Collaborates with medical staff, hospital leadership, and quality assurance teams to monitor practitioner performance and maintain accreditation requirements.

Job Summary

The RN Professional Practice Quality Reviewer is responsible for overseeing the Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) processes to ensure compliance with regulatory standards, supports credentialing, and promotes high‑quality patient care. Collaborates with medical staff, hospital leadership, and quality assurance teams to monitor practitioner performance and maintain accreditation requirements.

Job Specific Duties

• Conducts clinical reviews using sources ranging from medical records, incident reports, best practice guidelines & interviews in an effort to monitor quality performance & identify improvement opportunities.
• Works in collaboration with Quality Improvement Analyst to prepare performance metrics and quality reports to various departments and medical staff.
• Prepares quantitative data, reports, and presentations for committees and individuals.
• Attends and participates in committees supporting ongoing quality improvement initiatives, which may include preparing agendas and recording meeting minutes.
• In collaboration with the Quality Department and Medical Staff Administration, prepares professional practice reviews for physician reviewer.
• Responsible for quality review activities that include evaluation and processing of data including; trending, tracking, and monitoring.
• Participates in national collaborative efforts and initiatives, which includes data abstraction and entry, and presentations of summary reports produced through the collaborative.
• Communicates with a variety of clinical disciplines and physician advisors to clarify criteria and summaries.
• Responsible for identifying potential risk and quality issues.
• Collaborates with data analytics and information technology as needed to optimize EMR integration for performance metrics.

Qualifications

Minimum Job Requirements

• Bachelor of Science in Nursing (BSN)
• RN Licensure within the State of Florida or Multi‑State Enhanced Nursing License Compact (eNLC) - maintain active and in good standing throughout employment
• 1-3 years of experience in healthcare quality
• 3-5 years of clinical nursing experience

Knowledge, Skills, and Abilities

• Ability to establish a positive working relationship and rapport with medical staff, department leaders, staff, and colleagues.
• Ability to prioritize work and evaluate workload in order to meet deadlines.
• Ability to interpret and extrapolate clinical information from review of various sources of material, primarily by mining the electronic medical record, and to draw conclusions about the quality of care provided.
• Ability to maintain confidentiality of protected health information and other sensitive information.
• Proficiency in Microsoft Office Suite Word, Outlook, Excel, and PowerPoint required; Access, Visio and SharePoint preferred.
• Demonstrates continuously improving professional growth and expertise through participation in relevant training and education.
• Excellent interpersonal communication and negotiation skills.
• Ability to communicate effectively both verbally and in writing.
• Strong analytical, data management, and computing skills.
• Reacts effectively to unplanned circumstances, demands, and challenges facing the hospital and in the particular assigned area of responsibility.

Job:

Professional

Department:

QUALITY AND SAFETY LEADERSHIP-1000-954050

Job Status:

Professional