Utilization Review RN - Risk Management

Providence; Burbank (CA); On-site; USD 90,000 - 130,000; Full time

Job summary

Providence is seeking a Peer Review RN to design, implement and continuously evaluate physician and nursing peer review programs in collaboration with physician and nursing leadership. The role requires strong clinical analytics, problem solving, and the ability to prioritize time-sensitive deliverables.

Responsibilities include screening incident reports, mining data from multiple databases, reviewing cases per federal and state guidelines, and partnering with Quality, Safety and Risk to

Qualifications

• Bachelor's Degree in Nursing required.
• California Registered Nurse License required on hire.
• At least 3 years of acute care clinical practice.

Responsibilities

• Facilitate the design, implementation and ongoing evaluation of the physician peer review program and nursing peer review process in collaboration with physician and nursing leaders.
• Screen hospital incident reports and mine other reports and databases; perform case reviews per Federal, State and National guidelines.
• Collaborate with Quality, Safety and Risk teams to develop action plans addressing performance trends and events.

Skills

Clinical analytics

Problem solving

Time management

Education

Bachelor's Degree in Nursing

California RN License

3 years acute care experience

Job description

The Peer Review RN is responsible for facilitating the design, implementation and the ongoing evaluation of the physician peer review program and nursing peer review process in collaboration with physician leaders and nursing leaders. This position requires strong clinical analytical skills, problem solving skills, ability to prioritize and manage multiple time-sensitive deliverables. Position screens hospital incident reports and mines other reports and databases as well as perform needed case reviews based on Federal, State and National guidelines. With the Quality, Safety and Risk caregivers, facilitates medical staff and nursing leadership action plans on designs and implements to address trends in performance involving peer review and/or event investigations.

Providence caregivers are not simply valued – they’re invaluable. Join our team at St Joseph Medical Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:

• Bachelor's Degree in Nursing.
• California Registered Nurse License upon hire.
• 3 years Acute care clinical practice experience.

Preferred Qualifications:

• Master's Degree in Nursing.
• Certified Professional in Healthcare Quality (CPHQ), or equivalent upon hire.
• Peer Review experience
  

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.