Develops and implements quality management strategies, including data collection, analysis, and ... Conducts medical record reviews to evaluate patient care and identify opportunities for improvement ...
Develops and implements quality management strategies, including data collection, analysis, and ... Conducts medical record reviews to evaluate patient care and identify opportunities for improvement ...
Utilization Review Specialist
Gilbert, AZ · On-site
$60 - $80/hr
Interfaces with managed care organizations, external reviewers, and other payers. * Communicates with physicians to schedule peer-to-peer reviews. * Accurately reports denials. What we're looking for ...
Utilization Review Specialist
Gilbert, AZ · On-site
$60 - $80/hr
Interfaces with managed care organizations, external reviewers, and other payers. * Communicates with physicians to schedule peer-to-peer reviews. * Accurately reports denials. What we're looking for ...
Utilization Review Specialist
Tucson, AZ · On-site
Interfaces with managed care organizations, external reviewers, and other payers. * Communicates with physicians to schedule peer-to-peer reviews. * Accurately reports denials. About our Team Driven ...
Utilization Review Specialist
Tucson, AZ · On-site
Interfaces with managed care organizations, external reviewers, and other payers. * Communicates with physicians to schedule peer-to-peer reviews. * Accurately reports denials. About our Team Driven ...
Utilization Review Specialist
Tucson, AZ · On-site
Interfaces with managed care organizations, external reviewers, and other payers. * Communicates with physicians to schedule peer-to-peer reviews. * Accurately reports denials. About our Team Driven ...
Utilization Review Specialist
Tucson, AZ · On-site
Interfaces with managed care organizations, external reviewers, and other payers. * Communicates with physicians to schedule peer-to-peer reviews. * Accurately reports denials. About our Team Driven ...
Interfaces with managed care organizations, external reviewers, and other payers. * Communicates with physicians to schedule peer-to-peer reviews. * Accurately reports denials. What we're looking for ...
Interfaces with managed care organizations, external reviewers, and other payers. * Communicates with physicians to schedule peer-to-peer reviews. * Accurately reports denials. What we're looking for ...
Utilization Review Specialist
Gilbert, AZ · On-site
Interfaces with managed care organizations, external reviewers, and other payers. * Communicates with physicians to schedule peer-to-peer reviews. * Accurately reports denials. What we're looking for ...
Utilization Review Specialist
Gilbert, AZ · On-site
Interfaces with managed care organizations, external reviewers, and other payers. * Communicates with physicians to schedule peer-to-peer reviews. * Accurately reports denials. What we're looking for ...
Utilization Clinical Reviewer
Phoenix, AZ · On-site
... Management for review as necessary. • Prepares cases for Medical Director and Peer Review according to established policy. • Refers potential quality issues and complaints to Clinical Quality ...
New
Utilization Clinical Reviewer
Phoenix, AZ · On-site
... Management for review as necessary. • Prepares cases for Medical Director and Peer Review according to established policy. • Refers potential quality issues and complaints to Clinical Quality ...
New
Orthopedics Physician
Concho, AZ · On-site
Dane Street is a national leader in Independent Medical Examinations (IMEs) and peer review ... Respond to clinical queries to support claims management * Deliver detailed IME reports within an ...
Orthopedics Physician
Concho, AZ · On-site
Dane Street is a national leader in Independent Medical Examinations (IMEs) and peer review ... Respond to clinical queries to support claims management * Deliver detailed IME reports within an ...
Dane Street is a national leader in Independent Medical Examinations (IMEs) and peer review ... Respond to clinical queries to support claims management * Deliver detailed IME reports within an ...
Dane Street is a national leader in Independent Medical Examinations (IMEs) and peer review ... Respond to clinical queries to support claims management * Deliver detailed IME reports within an ...
Dane Street is a national leader in Independent Medical Examinations (IMEs) and peer review ... Respond to clinical queries to support claims management * Deliver detailed IME reports within an ...
Dane Street is a national leader in Independent Medical Examinations (IMEs) and peer review ... Respond to clinical queries to support claims management * Deliver detailed IME reports within an ...
Pulmonary Medicine Physician Critical Care Pulmonologist - Physicians Only Apply - Perm
Phoenix, AZ · On-site
$298K - $398K/yr
... peer review program is viewed as a critical element of quality management. Most of our reviewers find the cases interesting and the work gratifying. This is a real opportunity to ensure that our ...
Pulmonary Medicine Physician Critical Care Pulmonologist - Physicians Only Apply - Perm
Phoenix, AZ · On-site
$298K - $398K/yr
... peer review program is viewed as a critical element of quality management. Most of our reviewers find the cases interesting and the work gratifying. This is a real opportunity to ensure that our ...
Peer Mentor
Mesa, AZ · On-site
$15 - $19/hr
... management as required. * Facilitates coordination of care to include case review, weekly progress ... Peer Recovery Support Specialist certification from an Arizona approved agency or obtained within ...
Quick apply
Peer Mentor
Mesa, AZ · On-site
$15 - $19/hr
... management as required. * Facilitates coordination of care to include case review, weekly progress ... Peer Recovery Support Specialist certification from an Arizona approved agency or obtained within ...
Peer Mentor
Mesa, AZ · On-site
$15 - $19/hr
... management as required. * Facilitates coordination of care to include case review, weekly progress ... Peer Recovery Support Specialist certification from an Arizona approved agency or obtained within ...
Peer Mentor
Mesa, AZ · On-site
$15 - $19/hr
... management as required. * Facilitates coordination of care to include case review, weekly progress ... Peer Recovery Support Specialist certification from an Arizona approved agency or obtained within ...
Peer Mentor
Mesa, AZ · On-site
$15 - $19/hr
... management as required. * Facilitates coordination of care to include case review, weekly progress ... Peer Recovery Support Specialist certification from an Arizona approved agency or obtained within ...
Peer Mentor
Mesa, AZ · On-site
$15 - $19/hr
... management as required. * Facilitates coordination of care to include case review, weekly progress ... Peer Recovery Support Specialist certification from an Arizona approved agency or obtained within ...
EXECUTIVE DIRECTOR
$70K - $143K/yr
... Management BOARD OF ACCOUNTANCY The Arizona State Board of Accountancy protects the public by licensing CPAs and registering CPA firms, overseeing continuing professional education and peer review ...
EXECUTIVE DIRECTOR
$70K - $143K/yr
... Management BOARD OF ACCOUNTANCY The Arizona State Board of Accountancy protects the public by licensing CPAs and registering CPA firms, overseeing continuing professional education and peer review ...
Job Page
Phoenix, AZ · On-site
$70K - $143K/yr
... and peer review requirements, investigating misconduct and taking disciplinary action when ... Management and Supervision: • Direct the operations of the Board's office which oversees the ...
Job Page
Phoenix, AZ · On-site
$70K - $143K/yr
... and peer review requirements, investigating misconduct and taking disciplinary action when ... Management and Supervision: • Direct the operations of the Board's office which oversees the ...
... management/review, provider relations and communications, and working with physicians to provide education, peer to peer reviews and support. Office Location: Remote - flexible hours Essential ...
... management/review, provider relations and communications, and working with physicians to provide education, peer to peer reviews and support. Office Location: Remote - flexible hours Essential ...
Peer Support Specialist
Whiteriver, AZ · On-site
$15.75 - $20.25/hr
CHILD, ADOLECENT AND FAMILY SERVICES PROGRAM MANAGER STATEMENT OF JOB: This Position draws upon ... Participates in weekly clinical staffing with other members of the clinical team to review client ...
Peer Support Specialist
Whiteriver, AZ · On-site
$15.75 - $20.25/hr
CHILD, ADOLECENT AND FAMILY SERVICES PROGRAM MANAGER STATEMENT OF JOB: This Position draws upon ... Participates in weekly clinical staffing with other members of the clinical team to review client ...
Peer Support Specialist
Whiteriver, AZ · On-site
$15.75 - $20.25/hr
CHILD, ADOLECENT AND FAMILY SERVICESPROGRAM MANAGER STATEMENT OF JOB: This Position draws upon ... Participates in weekly clinical staffing with other members of the clinical team to review client ...
Peer Support Specialist
Whiteriver, AZ · On-site
$15.75 - $20.25/hr
CHILD, ADOLECENT AND FAMILY SERVICESPROGRAM MANAGER STATEMENT OF JOB: This Position draws upon ... Participates in weekly clinical staffing with other members of the clinical team to review client ...
Principal - Environmental Management, Permitting & Compliance
Phoenix, AZ · On-site
$150K - $200K/yr
... peer review of complex permitting and compliance documentation Bring technical depth to the ... manage client relationships and grow business opportunities Demonstrated ability to mentor and ...
Principal - Environmental Management, Permitting & Compliance
Phoenix, AZ · On-site
$150K - $200K/yr
... peer review of complex permitting and compliance documentation Bring technical depth to the ... manage client relationships and grow business opportunities Demonstrated ability to mentor and ...
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Full-time
Medical, Retirement, PTO
Posted 20 days ago
Job description
This is a full time day shift position working Monday - Friday supporting Northwest Medical Center in Tucson, AZ - No rotating shifts, weekends, or holidays!
What we offer:
Our Full Time and Part Time staff enjoy a robust benefits package including BCBS health insurance with several plan options to fit your healthcare needs, discounted healthcare services when using our Northwest Healthcare facilities and providers ( or other CHS in-network ).
100% licensure/certification renewal reimbursement, Tuition Reimbursement, and up to $20K for student loan payments.
Retirement plan (401k) with partial match. Paid Holidays, PTO is available to use at 90 days of employment. Sick time (EIB) at 6 months employment.
We also offer extras like Accident Insurance , Pet insurance, Legal plans, and so much more!
We know it's not just about finding a job. It's about finding a place where you are respected, valued, and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
This is a great opportunity to blend clinical nursing knowledge with health informatics to bridge the gap between patient care and data systems. Use your deep clinical insight, rigorous attention to detail, and clear communication to improve patient outcomes!
Job Summary
The Quality Coordinator - RN plans, coordinates, and implements quality management programs to ensure compliance with regulatory standards and the delivery of high-quality patient care. This role involves collecting, analyzing, and reporting performance data, collaborating with medical staff, and facilitating process improvements to achieve optimal patient outcomes. The Quality Coordinator supports accreditation efforts and continuous quality improvement initiatives.
What you will do:
Data quality audits, Q Centrix clinical data abstraction, sepsis audits. Organize medical staff meetings and prepare slide data for physician presentations. Ongoing and focused physician reviews. And more!
Essential Functions
- Develops and implements quality management strategies, including data collection, analysis, and performance monitoring, to ensure compliance with regulatory and accreditation standards.
- Conducts medical record reviews to evaluate patient care and identify opportunities for improvement, maintaining accuracy and timeliness.
- Collaborates with healthcare teams to coordinate quality improvement initiatives, providing guidance and education on best practices and standards of care.
- Abstracts core measure data and enters it accurately into hospital, corporate, and state databases, ensuring timely submission of quality reports.
- Communicates effectively with peers, healthcare staff, and leadership, providing regular updates on quality measures, compliance, and performance metrics.
- Supports the development and maintenance of quality-related policies and procedures, ensuring they align with regulatory requirements and reflect current clinical standards.
- Assists in preparing data for presentations and reports, correlating information to support decision-making and strategic planning.
- Participates in the development and implementation of process improvements, contributing to a culture of continuous quality enhancement and patient safety.
- Performs other duties as assigned.
- Maintains regular and reliable attendance.
- Complies with all policies and standards.
Qualifications
- 2-4 years of experience in quality management, performance improvement, or a similar role in a healthcare setting preferred
Knowledge, Skills and Abilities
- Strong understanding of healthcare quality measures, regulatory standards, and accreditation requirements.
- Excellent analytical skills for data collection, interpretation, and reporting to support quality initiatives.
- Effective communication skills for interacting with healthcare teams, leadership, and external stakeholders.
- Ability to adapt to change, implement process improvements, and foster a culture of quality and safety.
- Proficiency in using electronic medical records (EMR) systems and quality reporting tools.
Licenses and Certifications
- RN - Registered Nurse - State Licensure and/or Compact State Licensure required
- CPHQ - Certified Professional in Healthcare Quality preferred
Northwest Medical Center (NMC) is a 287-bed hospital, Level III Trauma Center, Women's Center, and a large physician group, we offer you a variety of settings in which to work. Every location is dedicated to providing safe, quality patient care, but more than that is the commitment to employees. NMC provides a culture of teamwork, respect and appreciation for all staff, whether they care for patients directly or work in a support role. With employee appreciation celebrations throughout the year, opportunities for growth and the satisfaction that you are part of a hospital leading the way with accessible, convenient healthcare in Tucson, NMC is a great place to work. Accredited by The Joint Commission and is an equal opportunity employer: race, gender, disability and Veteran status, and VEVRAA Federal Contractor - priority referral Protected Veterans requested.