RN Quality & Practice Review Specialist

Nicklaus Children's Health System; Miami (FL); On-site; USD 85,000 - 110,000; Full time

Job summary

Nicklaus Children's Health System in Miami, FL, seeks an RN Professional Practice Quality Reviewer to oversee OPPE and FPPE processes, ensure regulatory compliance, support credentialing, and promote high-quality patient care.

Collaborating with medical staff, hospital leadership, and quality assurance teams, the role monitors practitioner performance, prepares metrics and reports, and participates in committees advancing ongoing quality improvement.

Qualifications

• Bachelor of Science in Nursing (BSN) is required.
• RN Licensure in Florida or multi-state compact is required and must be active.
• 1-3 years of experience in healthcare quality.
• 3-5 years of clinical nursing experience.

Responsibilities

• Conducts clinical reviews using medical records, incident reports, best practice guidelines, and interviews to monitor quality performance and identify improvement opportunities.
• Collaborates with Quality Improvement Analyst to prepare performance metrics and quality reports for departments and medical staff.
• Prepares quantitative data, reports, and presentations for committees and individuals.
• Attends and participates in quality committees and supports ongoing quality improvement initiatives.
• Prepares professional practice reviews in collaboration with the Quality Department and Medical Staff Administration.
• Manages data evaluation, trending, and monitoring of quality review activities.
• Participates in national collaborative efforts, data abstraction, and presentation of summaries.
• Communicates with clinical disciplines and physician advisors to clarify criteria and summaries.
• Identifies potential risk and quality issues.
• Collaborates with data analytics and IT to optimize EMR integration for performance metrics.

Skills

Quality improvement

Data analysis

Interpersonal communication

Clinical nursing

Regulatory compliance

MS Office

EMR data extraction

Education

BSN

Tools

MS Office

EPIC EMR

SharePoint

Job description

Nicklaus Children's Health System in Miami, FL, seeks an RN Professional Practice Quality Reviewer to oversee OPPE and FPPE processes, ensure regulatory compliance, support credentialing, and promote high-quality patient care.

Collaborating with medical staff, hospital leadership, and quality assurance teams, the role monitors practitioner performance, prepares metrics and reports, and participates in committees advancing ongoing quality improvement.