Peer Review RN

The Peer Review RN position is responsible for coordinating risk management and safety efforts including program development, process implementation, education, data collection and analysis, and education. The role is responsible for coordinating and overseeing the development of patient safety initiatives to reduce medical errors and healthcare incidents. The Peer Review RN develops and maintains systems within the organization to detect, monitor, prevent, organize, measure, investigate, report, and manage adverse events, malpractice claims, and other indicators of potential liability. The Risk Coordinator assess, plan, implement, manage, and coordinate risk management activities, including but not limited to, compliance, insurance coverage and risk financing, management of claims against the facility, and the analysis and management of safety/environment of care issues. The Peer Review RN role helps the Quality & Risk Management departments to plan, design, implement, and maintain a comprehensive continuous quality improvement (CQI) program including performance improvement, ongoing regulatory compliance, survey preparedness, and risk management. The position develops and conducts risk management educational programs with the objective of controlling and minimizing loss to the system and assigned hospital(s) and assists in educating staff, including physicians, about safety, liability (i.e. medical malpractice), and other related systems and requirements. 

In collaboration with leadership and staff, this role ensures performance improvements that support the reduction of clinical errors and other factors that contribute to unintended adverse patient outcomes. This position also monitors clinical practice efforts to ensure compliance with internal and external standards, in addition to the review of medical records and other documentation, to ensure safe quality care. Peer Review RN are also responsible for investigating any claims against the covered hospitals, including malpractice or failure to adhere to recommended safety or institutional standards. They function as knowledge resources to nursing staff and leadership as well as ensuring that staff members conform to government regulations and institutional policy. This position also leads and participates in special projects, as directed.

Requirements:

1. Minimum Education: Bachelor's degree in Nursing, or health administration or legal / health-related field; MA preferred; CPHRM or other healthcare quality, safety, or performance improvement certification required in 9 months of hire
2. Minimum Experience: Professional with a minimum of four years of experience in nursing or 2 years in quality and Risk Management, claims handling, and/or compliance in acute or specialized health care settings with 
3. Re-orientation, HIPPA, Health/TB screening, competencies, fit testing, etc.
4. Corporate Compliance – Manages and maintains compliance with all state and federal laws and regulations, as well as other regulatory programs and hospital policies and procedures
5. Performs work that is accurate, neat and consistent, exercises good judgment & arrives at sound decisions
6. Takes ownership of tasks and completes assignments