Peer Review Analyst RN Part Time Days-No Weekends (rivhs)

Job Description

Part Time Days, Monday-Friday
The Peer Review Analyst is responsible for supporting activities related to the peer review process. The peer review process includes daily review of cases entered into the Riverside safety event reporting application "rCare" risk and peer review modules as well as other case finding methods as assigned, such as review of morbidity and mortality cases. Independently performs review of electronic medical records for potential, assigned and referred cases, and develops a summary of the case with focus questions. Maintains knowledge of the rCare risk and peer review modules and all associated policies, procedures, workflows, and business rules. Has knowledge of standard reports and is able to run standard reports and create on demand reports to routinely check for rCare file completeness, identify outstanding items to follow up on, determine the volume of cases by peer review committee, department or unit as requested. Runs reports to verify activity and status of cases referred to each peer review committee, as well as cases closed and adjudicated for outcomes.

What you will do

• Support all aspects of the rCare Peer Review Process and complete assignments in a timely manner.
• Review cases referred to peer review are entered into the rCare Peer Review module, and require a case summary with timeline when appropriate, with focused questions posed to the assigned peer reviewer.
• Conducts an initial review and develops a case summary if the case requires further review. The case summary should identify focused questions for review by the Peer Review Coordinator for collaboration with Chief Medical Officer and Quality Director, identifies cases appropriate for referral to peer review.
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• Identify and use multiple methods for case finding using triggers, quality screens, complication reports, and mortality reports as well as rCare risk/safety event reports, patient/family complaints, EPIC reports, service line dashboards, etc.
• Obtains and seeks continual education related to the peer review process.
• Follows up with assigned peer reviewer to assure timely responses and referral to the appropriate Peer Review committee for further discussion and adjudication.
• Maintains an electronic log with the status report of peer review cases by medical specialty that includes cases identified for potential external peer review. Assures all peer reviewed cases have a completed analysis, conclusions, recommendations and actions documented in both the case summary.

Qualifications

Education

• Bachelors Degree, Nursing (Preferred)

Experience

• 3-4 years Recent patient care in acute care setting (Required) ED-Emergency Department and/or Critical Care Experience preferred.
• Computer experience including Microsoft Office Suite (Work, Excel) and data entry skills (Required)
• 3-4 years Related experience in quality, patient safety or risk management (Preferred)
• Knowledge of report building and graphs (Preferred)

Licenses and Certifications

• Registered Nurse (RN) - Virginia Department of Health Professions (VDHP) Upon Hire(Required)

To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.