RN Professional Practice Quality Reviewer (Full Time, Days)
Miami, Florida
Posted Aug 14
- Shift
- Days
What the listing says
Role
- Schedule
- Days
- Term
- Permanent
- Setting
- Hospital
- Accepts
- RN
- Experience
- 3+ years
Ratio not posted. Ask in the interview.
Pay
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About this role
Job Summary
The RN Professional Practice Quality Reviewer is responsible for overseeing the Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) processes to ensure compliance with regulatory standards, supports credentialing, and promotes high-quality patient care. Collaborates with medical staff, hospital leadership, and quality assurance teams to monitor practitioner performance and maintain accreditation requirements.
Job Specific Duties
Conducts clinical reviews using sources ranging from medical records, incident reports, best practice guidelines & interviews in an effort to monitor quality performance & identify improvement opportunities. Works in collaboration with Quality Improvement Analyst to prepare performance metrics and quality reports to various departments and medical staff. Prepares quantitative data, reports, and presentations for committees and individuals.
Read the full posting
Attends and participates in committees supporting ongoing quality improvement initiatives, which may include preparing agendas and recording meeting minutes. In collaboration with the Quality Department and Medical Staff Administration, prepares professional practice reviews for physician reviewer. Responsible for quality review activities that include evaluation and processing of data including; trending, tracking, and monitoring.
Participates in national collaborative efforts and initiatives, which includes data abstraction and entry, and presentations of summary reports produced through the collaborative. Communicates with a variety of clinical disciplines and physician advisors to clarify criteria and summaries. Responsible for identifying potential risk and quality issues.
Collaborates with data analytics and information technology as needed to optimize EMR integration for performance metrics. Qualifications
Minimum Job Requirements
Bachelor of Science in Nursing (BSN) RN Licensure within the State of Florida or Multi-State Enhanced Nursing License Compact (eNLC) – maintain active and in good standing throughout employment 1-3 years of experience in healthcare quality 3-5 years of clinical nursing experience
Knowledge, Skills, and Abilities
Ability to establish a positive working relationship and rapport with medical staff, department leaders, staff, and colleagues. Ability to prioritize work and evaluate workload in order to meet deadlines. Ability to interpret and extrapolate clinical information from review of various sources of material, primarily by mining the electronic medical record, and to draw conclusions about the quality of care provided.
Ability to maintain confidentiality of protected health information and other sensitive information. Proficiency in Microsoft Office Suite Word, Outlook, Excel, and PowerPoint required; Access, Visio and SharePoint preferred. Demonstrates continuously improving professional growth and expertise through participation in relevant training and education.
Excellent interpersonal communication and negotiation skills. Ability to communicate effectively both verbally and in writing. Strong analytical, data management, and computing skills.
Reacts effectively to unplanned circumstances, demands, and challenges facing the hospital and in the particular assigned area of responsibility.
Job
Professional
Department
Quality and safety leadership-1000-954050
Job Status
Professional
Sourced from a public job board.
Requirements
- Minimum Job Requirements
- Bachelor of Science in Nursing (BSN)
- RN Licensure within the State of Florida or Multi-State Enhanced Nursing License Compact (eNLC) – maintain active and in good standing throughout employment
- 1-3 years of experience in healthcare quality
- 3-5 years of clinical nursing experience
- Ability to establish a positive working relationship and rapport with medical staff, department leaders, staff, and colleagues.
- Ability to prioritize work and evaluate workload in order to meet deadlines.
- Ability to interpret and extrapolate clinical information from review of various sources of material, primarily by mining the electronic medical record, and to draw conclusions about the quality of care provided.
- Ability to maintain confidentiality of protected health information and other sensitive information.
- Proficiency in Microsoft Office Suite Word, Outlook, Excel, and PowerPoint required; Access, Visio and SharePoint preferred.
- Demonstrates continuously improving professional growth and expertise through participation in relevant training and education.
- Excellent interpersonal communication and negotiation skills.
- Ability to communicate effectively both verbally and in writing.
- Strong analytical, data management, and computing skills.
- Reacts effectively to unplanned circumstances, demands, and challenges facing the hospital and in the particular assigned area of responsibility.
Place
- City
- Miami, Florida
- Median rent
- $1,758/mo
- Local household income
- $62,462/yr
- Metro price level
- 14% above the national average
- Beds
- 278
- Magnet
- Designated since 2003 (ANCC)
- RN residency
- ANCC-accredited: Horizon Nurse Residency Program at Nicklaus Children's Hospital, through Jan 2029
rent and tenant-paid utilities · Census ACS 2024
all local households, not nurse pay · Census ACS 2024
Miami area index 114.2, where 100 is the national average.
Miami blends sun-soaked coastal living with a fast-paced, multicultural energy. Nurses relocating here find year-round warmth, Latin-Caribbean flavor, and bustling healthcare corridors. Whether you prefer the high-rise condos of Brickell or the beach-town feel of Miami Beach, the city delivers a vibrant lifestyle where ocean breezes meet 24/7 urban excitement.
Cost figures from U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024.
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