Job Description Type of Opportunity: Full TimeFTE: 1.000000Exempt: YesWork Schedule: Days
Summary:Responsible for Quality of Clinical Care activities. Coordinates the provider peer review process which assesses and reviews the quality of patient and member care provided by direct care providers and facilities. Investigates all complaints alleging inappropriate clinical care or alleged inappropriate behavior by a physician or other health care practitioner/provider. Applies the knowledge of a registered nurse to determine the key factors in each case and whether the standard of care has been met, documenting and summarizing findings for all parties regarding investigative findings. Collaborates with other staff including medical directors, registered nurses, and legal counsel.Qualifications
Other information:Current New Mexico RN License required. Bachelor's degree required, BSN preferred. Three to five years' experience in clinical nursing field required, three years quality improvement experience preferred. Three years case management or care coordination experience preferred. Excellent written, oral, and . facilitation skills required. Skills in Word, Excel, and Power Point necessary. Demonstrates ability to work with highly sensitive and confidential information.
Credentials: Registered Nurse - State of New Mexico or Compact State Nursing License or Graduate Nurse Permit required. BLS certification within 90 days of hire.
Education: Associate Degree in Nursing (BSN completion within 5 years of hire)Benefits
Benefits Benefits are effective day-one (for .45 FTE and above) and include:
- Competitive salaries
- Full medical, dental and vision insurance
- Flexible spending accounts (FSAs)
- Free wellness programs
- Paid time off (PTO)
- Retirement plans, including matching employer contributions
- Continuing education and career development opportunities
- Life insurance and short/long term disability programs
About Us: CHAT LIVE with a Presbyterian Nurse Recruiter every Tuesday! Register now by clicking on this link: app.brazenconnect.com/a/presbyterianhealthservices/s/aZobG/next?utm_medium=Website&utm_source=Job+Reqs Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees. Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans. We are part of New Mexico's history -and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come. About New Mexico New Mexico's unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich lifestyle. Add in Albuquerque's International Balloon Fiesta, Los Alamos' nuclear scientists, Roswell's visitors from outer space, and Santa Fe's artists, and you get an eclectic mix of people, places and experiences that make this state great. Cities in New Mexico are continually ranked among the nation's best places to work and live by Forbes magazine, Kiplinger's Personal Finance, and other corporate and government relocation managers like Worldwide ERC. New Mexico offers endless recreational opportunities to explore, and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.