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Coordinator, Quality Peer Review (LVN/RN), Quality Assurance - PD/Days

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Location: Long Beach, California

Schedule: Per Diem

Shift: Per Diem

Job Listing: LON008269

Essential Job Outcomes & Functions:

  • Conduct primary or secondary screening of patient care variances to identify those cases warranting physician review.
  • Evaluate variance of montioring functions to identify those meeting criteria for physician review (mortality, morbidity, blood usage, infection, adverse drug reactions, unusual occurrences).  
  • Initiate periodic physician review of screening criteria to validate currency, relevance and appropriateness.  
  • Coordinates statistical process review of selected diagnoses and procedures for medical staff review.
  • Initiate referral process to the appropriate medical staff peer review group in coordination with medical staff coordinator:
  • Prepare individual case referrals for physician review with appropriate supporting, background documentation.
  • Work through medical staff coordinator to facilitate timely referrals, initiate measures to promote a thorough physician review with an objective outcome.
  • Attend multidisciplinary medical staff peer review committee meetings as cases are presented and reviewed.  
  • Enter outcomes of physician peer review into appropriate software system.
  • Provide summary reports to medical staff committees, as well as physician specific reports for credential committee and physician profiles.
  • Liaison with Quality Department and External Payors as needed to orchestrate response to quality issues identified by external payors.
  • Disseminate information in a timely manner to applicable individuals.
  • Assist with continuous readiness activities.
  • Consistently applies infection control policies/procedures.
  • Meets population specific competencies.  
  • Attends department education/training in-services.
  • Participates in specific performance improvement projects.
  • Perform data management activities/documentation.
  • Utilizes appropriate applications such as QualCare, Crimson, Excel, etc.

Minimum Requirements / Work Experience:

  • Minimum three years experience in acute hospital stting
  • CA issued RN license preferred, LVN CA licensure required
  • Previous UR/QA/QI/RM/Case Management experience
  • Knowledge of various agencies and regulations pertaining to TJC, CMS, CDPH, CCS, Medi-Cal, IMQ, etc.
  • Expertise with computer applications/software ie. Excel, Crimson, etc.

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Photo of Brindilyn Berger
"I love working at Miller Children's & Women's Hospital Long Beach because I value working for a company that invests in its employees and the community we serve. From the support and guidance I receive from managers who value my professional and personal growth; to being able to work alongside colleagues who are dedicated to help their patients and families. I feel inspired every day to do the work that I love alongside people who share a similar vision."
- Brindilyn Berger, Child Life Specialist

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