RN Clinical Reviewer

Company: HCA Houston Healthcare
Location: Houston
Posted on: May 24, 2025

Job Description:

DescriptionIntroductionDo you have the career opportunities as a(an) RN Clinical Reviewer you want in your current role? We invest in what matters most to nurses like you - at home, at work, and at every stage in your career. We have an exciting opportunity for you to join HCA Houston Healthcare Kingwood which is a part of the nation's leading provider of healthcare services, HCA Healthcare.BenefitsHCA Houston Healthcare Kingwood, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more
• Consumer discounts through Abenity and Consumer Discounts
• Retirement readiness, rollover assistance services and preferred banking partnerships
• Education assistance (tuition, student loan, certification support, dependent scholarships)
• Colleague recognition program
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.Learn More About Employee BenefitsNote: Eligibility for benefits may vary by location.Do you want to work where you have a voice? Nurses are at the forefront of our commitment to the care and improvement of human life. At HCA Healthcare, there are many ways for nurses to have a voice through professional practice councils, advisory councils, vital voices surveys, and units of distinction. We learn from our multi-generational nursing family. We partner with our Nurses at HCA Houston Healthcare Kingwood!Job Summary And QualificationsWe are seeking a RN Clinical Reviewer for our facility to ensure that we continue to provide all patients with high quality, efficient care. We are an amazing team that works hard to support each other and we are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply now!What you will do in this role:
  • Promote a culture that is positive, that values individual strengths, takes risks, and is committed to optimal patient care, and compliance with regulatory standards.
  • Facilitate the growth of hospital knowledge regarding quality and high reliability, including the dissemination and implementation of "best practices" across the facility. Participates in and coordinates activities for Performance Improvement committees, including meeting preparation, setting agendas, writing minutes, and following-up with action items.
  • Proficient in use of Medictech and able to utilize for reporting, abstraction, and trending purposes.
  • Demonstrates advanced skill sets in spreadsheet, word processing, and presentation software applications.
  • Assist with proactive patient safety activities to help create facilitates that are high reliability organizations, as reflected in reduced errors, elimination of unsafe processes, and increased involvement of staff and physicians toward a culture of safety.
  • Utilize problem-solving methodology; serious event analysis (SEA)/root cause analysis (RCA); and/or Failure, Mode, Effects & Critically Analysis (FMECA) as appropriate.
  • Perform regular analysis of facility quality and risk performance data, and plan steps based on data analysis for ongoing involvement.
  • Support clinical process improvement teams as needed to achieve quality and performance improvement goals.
  • Execute special projects and other duties as assigned.What qualification you will need:
    • Registered Nurse, prefer at least one year of experience
    • Registered Nurse Diploma
    • Previous experience working with Meditech desired.
    • CPPS certification preferred.
    • A sense of the hospital-wide functions. Computer experience, including Microsoft Office.
    • Experience working with data & reports and surveys helpful.As a full-service, 420+ bed acute care hospital, HCA Houston Healthcare Kingwood has provided the northeast Houston community with high-quality, cost-effective healthcare for over 25 years. We are dedicated to providing comprehensive, quality care, close to home. Our Women's Center offers high-risk OB care, a Level III NICU, and pediatric services. We have an advanced Brain & Spine Center, which includes a DNV Comprehensive Stroke Center and the Sleep Center of Excellence. Our Orthopedic Center offers total joint replacement surgery using advanced technology. Other services include innovative and customized cardiovascular services, including open heart and vascular surgery and state-of-the-art imaging and endoscopy services for more accurate diagnosis and treatment plans. We are also a Certified Level I Stroke Center and an Accredited Chest Pain Center. We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare. Together we are stronger, smarter and more accessible in providing the patient-centered care you need close to home.HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses."Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.HCA Healthcare Co-FounderIf this opportunity is your next step in your career path, we encourage you to apply for our Registered Nurse RN Emergency Department opening. We review all applications. Qualified candidates will be contacted by a member of our team. We are interviewing apply today!We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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