Medical Staff Peer Review Coordinator (62815)

Fairfield Medical CenterLancaster, OH
$27 - $44Onsite

About The Position

The Peer Review Coordinator manages the Medical Staff/Advanced Practice Provider peer review process consistent with guidelines set forth by the Fairfield Medical Center (FMC) medical staff and regulatory agencies; assists with Physician and Advanced Practice Provider performance improvement initiatives, coordinates clinical and non-clinical performance improvement according to regulatory standards and organizational goals. Under the direction of the Manager of Medical Staff Services, the Medical Staff Peer Review Coordinator manages the Medical Staff and Advanced Practice Provider peer review process by supporting the Credentials Committee, Medical Staff Quality Committee (MSQC), and Practitioner Effectiveness Committee (PEC) by researching and coordinating cases and focused reviews. This includes abstracting, reviewing, analyzing and summarizing medical records for use in the Medical Staff and Advanced Practice Provider peer review process. Manages Ongoing Professional Practice Evaluation (OPPE) and assists with Focused Professional Practice Evaluation (FPPE) reports. Manages all Medical Staff Peer Review meetings and serves as a liaison between various committees to facilitate communication and referral of cases for further physician review, and report results back to referring committee. Assists with development and implementation of strategies for improving performance. Prepares and provides information for departmental improvement activities, credentialing, and reappointment. Prepares and coordinates responses to accreditation and regulatory surveys or visits with a focus on medical staff quality. Maintains knowledge of The Joint Commission and the Centers for Medicare and Medicaid Services requirements pertaining to the medical staff peer review process. Maintains knowledge of the FMC Medical Staff Bylaws and related policies. Other duties as assigned.

Requirements

  • Bachelor of Science in Nursing from an accredited school of professional nursing required.
  • Current/Active RN License.
  • 3-5 years of acute care, hospital-based clinical experience.
  • Experience in statistical concepts, data management, variance tracking and data interpretation.
  • Knowledge of The Joint Commission and the Centers for Medicare and Medicaid Services requirements pertaining to the medical staff peer review process.
  • Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull or otherwise move objects, including the human body.
  • Sedentary Work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Nice To Haves

  • Masters degree is preferred.

Responsibilities

  • Manages the Medical Staff/Advanced Practice Provider peer review process consistent with guidelines set forth by the Fairfield Medical Center (FMC) medical staff and regulatory agencies.
  • Assists with Physician and Advanced Practice Provider performance improvement initiatives.
  • Coordinates clinical and non-clinical performance improvement according to regulatory standards and organizational goals.
  • Supports the Credentials Committee, Medical Staff Quality Committee (MSQC), and Practitioner Effectiveness Committee (PEC) by researching and coordinating cases and focused reviews.
  • Abstracts, reviews, analyzes and summarizes medical records for use in the Medical Staff and Advanced Practice Provider peer review process.
  • Manages Ongoing Professional Practice Evaluation (OPPE) and assists with Focused Professional Practice Evaluation (FPPE) reports.
  • Manages all Medical Staff Peer Review meetings.
  • Serves as a liaison between various committees to facilitate communication and referral of cases for further physician review, and report results back to referring committee.
  • Assists with development and implementation of strategies for improving performance.
  • Prepares and provides information for departmental improvement activities, credentialing, and reappointment.
  • Prepares and coordinates responses to accreditation and regulatory surveys or visits with a focus on medical staff quality.
  • Maintains knowledge of The Joint Commission and the Centers for Medicare and Medicaid Services requirements pertaining to the medical staff peer review process.
  • Maintains knowledge of the FMC Medical Staff Bylaws and related policies.
  • Performs other duties as assigned.

Benefits

  • Exceptional care to our patients by creating exceptional experiences for our employees.
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