RN Clinical Reviewer - Full-Time Days - Full-time
Overland Park Regional Medical Center - Overland Park, KS

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Works in the Quality Department with a primary focus to abstract, interpret and present data for assigned databases or registries with the objective of assisting the organization in demonstrating excellence in health and clinical outcomes. This position requires a person with a positive attitude who is self directed. Ability to competently use computer software systems for data collection and analysis is required. Working as a professional registered nurse, this person will also assess appropriate inclusion/ exclusion of data based on defined data dictionaries.

Other pertinent duties are: attaining and maintaining proficiency in data abstraction and entry; generating routine and ad hoc reports as directed within required time frame. Collects and maintains accurate ( >90%) performance improvement data activities via selected utcomes software systems. A high degree of skill performing the activity is required as the performance data gathered for external public reporting if it is not accurate and not acted upon, the hospital reimbursement will be adversely affected. This person will also screen medical records utilizing pre-determined medical staff, and regulatory health center criteria.

Identifies medical staff variances from criteria and routes variances to the appropriate physician for review. Participates as directed in PI teams to identify improvement opportunities.Graduate of an accredited school of nursing with current licensure in the State of Kansas.Minimum of 3 years of recent acute care clinical nursing experience required. Bachelor’s degree in nursing preferred. Experience in using criteria to abstract data preferred.Strong leadership, communication, and computer skills required.

Examples of software used include CHOIS, COMET, STS, Meditech. Knowledge of applicable CMS regulations and reimbursement mechanisms is necessary. The ability to function in a fast-paced, stressful environment is necessary.An Equal Opportunity Employer (M/F/H/V).