RN - CASE REVIEWER PRO PRAC EXC

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Job ID: 6090
Category: Registered Nurse
Department: Quality Outcomes
Location: Albuquerque, NM
Date posted: 04/29/2024
Pay Rate: $35.32 - $54.71 Hourly

Department: Quality Outcomes

FTE: 1.00
Full Time
Shift: Days

Position Summary:
The Professional Practice Excellence RN Case Reviewer supports the Professional Practice Committee (PPC) through the management of data and information needed by the Committee for the performance of Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) in accordance with approved policies and the PPC Charter. The RN Case Reviewer will monitor, validate, and document aggregate data as well as individual case data based upon identified indicators using the designated format. The RN Case Reviewer develops accurate clinical case summaries, data trending, reports and analysis for the PPC as well as support Committee Members in their evaluation process. This position reports to the Director of Professional Practice Excellence who is responsible for maintaining and support of the Professional Practice Excellence review process. Ensure adherence to Hospitals and departmental policies and procedures. No patient care assignment.

Detailed responsibilities:
* SUPPORT - Supports the PPC Committee Chair and Members in their OPPE and FPPE activities through the monitoring and validation of rate and rule indicators data
* TRAINING - Supports the PPC Committee by orienting new members to the designated format for evaluation and documentation of reviews
* DATA - Supports the PPC Committee Chair, Members, Quality Safety Officers and the Director, PPE with the identification and maintenance of data sources and streams for service specific indicators
* COMMUNICATE - Ensures communication of reports and data to Clinical Service Chiefs or Quality Committees as determined by the PPC and at the request of the Committee
* REVIEWS - Through an effective tracking mechanism, supports the PPC Committee in timely evaluation and closure of reviews
* MAINTAIN - Securely maintains evaluation data, reports and minutes of the PPC; maintains all information in the strictest of confidence
* FACILITATE - Facilitates individual practitioner review of their data upon their request
* OVERSEE - Oversees and secures the collection of case review data as prescribed by policy for aggregation, analysis and presentation; create charts and graphs to facilitate the communication of data and trends
* KNOWLEDGE - Maintains current knowledge of relevant regulatory standards for professional practice evaluation as well as approved policies, procedures and other relevant documents which guide the work and function of the Professional Practice Committee

Qualifications

Education:
Essential:
* Bachelor's Degree
Nonessential:
* Master's Degree
Education specialization:
Essential:
* Nursing
Nonessential:
* Nursing

Experience:
Essential:
3 years directly related experience

Nonessential:
No preferred experience

Credentials:
Essential:
* RN in NM or as allowed by reciprocal agreement by NM

Physical Conditions:
Sedentary Work: Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Working conditions:
Essential:
* No or min hazard, physical risk, office environment

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