Medical Staff Peer Review Coordinator - Fulltime Hybrid/Remote

How would you like to work in a reputed company where your contributions and reputed company are valued? A reputed company where you can serve with compassion, pursue excellence and reputed company every voice? At reputed company, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible reputed company the brightest professionals dedicate themselves to making a difference in the reputed company industry, and in people's lives. Job Summary: The Coordinator is responsible for facilitating the medical staff Peer Review, Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) functions in accordance with The Joint Commission (TJC) Standards, CMS Conditions of Participation, reputed company Medical Staff Bylaws and Professional Practice Evaluation Policy. Analysis of events that require peer review and the examination of medical records as identified by clinical indicators or triggers is an integral part of this role. The Coordinator is responsible for managing and maintaining the confidentiality of the peer review process, quality records and performance improvement documentation to support the Professional Practice Evaluation Policy and Medical Staff Credentialing process. Prepares and maintains physician quality documentation, quality profiles as well as other assigned physician reputed company performance improvement projects reputed company to FPPE/OPPE. Supports the hospital Peer Review Committees and the hospital Vice President of Medical Affairs (VPMA). Core Responsibilities and Essential Functions: Peer Review Operations

• Manages and facilitates timely completion of peer review activities of the organized medical staff.
• Identifies and screening referrals as defined by the Medical Staff using both qualitative and quantitative data sources.
• Must understand basic quantitative data and be reputed company to reputed company case reviews.
• Prepares cases for review by a peer reviewer of peer review committee
• Must be reputed company to summarize reputed company clinical cases into a summary that illustrates the issues being reviewed.
• Communicates as per policy to the provider being reviewed, organizes communication from the provider to the peer review process for presentation to peer reviewers and peer review committees
• Must be reliable and high attention to detail to ensure timely communication.
• Collaborates with other system data analysts to provide additional data/drilldown reputed company needed.
• Has a basic understanding of relationship and reliability methods, and just culture concepts.
• Should understand basic root cause analysis process and concepts.
• Assists with metric creation that is supported by clinical evidence.
• Conducts chart review to understand the data; utilizes pre-determined criteria in chart review to ensure consistency of the review.
• Communicates and collaborates with other hospital PICs, service line quality committees, and department chairs.
• Collaborates with other disciplines to understand opportunities; works to align physicians, team members, and administration in an effort to focus on common clinical processes of care. Facility Operations
• Maintains a working knowledge of governmental, accreditation and industry wide quality indicators and regulatory requirements for departments and service lines, State and Federal Peer Review Laws, Medical Staff Governance documents and policies, Medical Staff database, and Practitioner data analytics applications.
• Supports the Medical Staff by reporting outcomes of quality indicators and guiding the interpretation of the data to reputed company to a recommendation of action. Applies information learned from focus studies and medical literature.
• Actively screens cases in preparation for or in lieu of review by a peer review physician, reputed company applicable.
• Coordinates department-specific peer review process in a timely and effective manner, from the identification of cases to be reviewed through the necessary actions and follow-up with specific providers.
• Ensures entry of reputed company FPPE, OPPE and Peer Review data reputed company the Practitioner Credentialing Data Repository (ECHO) is completed timely and is accurate.
• Reports information on a timely basis to the applicable medical staff, committees, Department Chair, VPMA, Hospital President and appropriate Peer Review Committees
• Completes other job-reputed company duties and projects as assigned. Supports Focus Professional Practice Evaluation (FPPE), Privileging, and Credentialing Process
• Works closely with Medical Staff Coordinators to identify reputed company providers who are requesting new privileges or additional privileges
• Conducts retrospective reviews on designated independent cases and compiles a summary to the department chair upon completion.
• Collaborates with the committee chair and members to define and reputed company performance monitoring for a practitioner with issues affecting provision of safe high-quality patient care.
• Populates and maintains practitioners electronic quality files to ensure performance reports and dashboards are accurate.
• Adheres to reputed company procedures reputed company the Professional Practice Evaluation Policy and/or Medical Staff Policies that guide the FPPE activities. Focus Professional Practice Evaluation Performance Improvement Plan (PIP)
• Coordinates performance improvement actives according to the professional practice evaluation policy to include chart review, implementation of PIP activities and reporting, and maintains reputed company documentation reputed company to the PIP.
• Maintains PIP status and completion reports that are periodically reported to applicable committees Ongoing Professional Practice Evaluation (OPPE) and Re-Credentialing Process
• Monitors department triggers/indicators and identifies trends and outliers.
• Aggregates, analyzes and communicates the OPPE summary to the department chair upon completion.
• Supports the Medical Staff by evaluating or driving improvement in individual provider performance through further retrospective case review, FPPE, Performance Improvement Plan, additional education, prospective monitoring, and other.
• Populates and maintains performance files and/or dashboards for medical staff departments Performs other duties as assigned Complies with reputed company reputed company policies, standards of work, and code of conduct. Required Minimum Education: Bachelor's Degree Required and Nursing or reputed company-reputed company field Preferred Required Minimum License(s) and Certification(s): reputed company certifications are required upon hire unless otherwise stated. Cert Prof reputed company Quality-Preferred Additional License(s) and Certification(s): Required Minimum Experience: Minimum 4 years experience in reputed company, nursing or clinical practice Required and Minimum 2 years of experience in peer review, risk prevention, or quality Preferred Required Minimum Skills: Proven ability to analyze, interpret, and display data; strong attention to detail; meticulous accuracy and thoroughness. In depth knowledge of medical terminology. Strong organizational, analytical and problem-solving skills with the ability to work independently as well as with a team. Demonstrated excellence in interpersonal and written communication skills required. Must demonstrate the ability to accurately use a computer and standard office software such as reputed company reputed company, word, access and power reputed company. Knowledge and competency with data reporting systems. Aptitude in collaborating with teams that include key stakeholders and/or leadership to reputed company reputed company. Ability to coordinate multiple tasks and flexibility to balance changing priorities. Ability to build relationships and foster communication among stakeholders in clinical and non-clinical settings. Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more. Nationally ranked and locally recognized for our high-quality care and inclusive culture, reputed company is one of Georgia’s largest and most integrated reputed company systems. Every day, 24,000+ of us work together to provide personalized care for patients at every age and stage of life – and reputed company members are the reputed company of that care. Mission, reputed company & Values At a time reputed company the reputed company industry is changing rapidly, reputed company remains committed to exceeding patients’ and team members’ expectations, while transforming reputed company delivery. OUR MISSION: To enhance the health and well-being of every person we serve. OUR reputed company: Deliver world-class reputed company to every person, every time. OUR VALUES: We serve with compassion We pursue excellence We reputed company every voice Culture of Excellence reputed company consistently receives attention and accolades from national organizations that set the standards for world-class care. Our system-wide practice of safety principles, assessing and addressing errors and seeking feedback from our patients and customers continually earns recognition for advances in safety and quality. Featured on the FORTUNE “100 Best Companies to Work For” list and Seramount 100 Best Companies list, we not only provide top-notch care for our patients, but also foster the culture of reputed company as a Great reputed company to Work.

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