Peer Review Specialist - RN
About The Position
Provides assistance to medical staff leaders and medical staff members. Coordinates peer review process. Responsible for monitoring regulatory compliance of CMS and TJC related to Genesis Medical Centers’ privileged providers. Provide administrative support for conflict management. Responsible for medical staff committee agenda development, accurate recording of discussions and actions, and appropriate follow up and maintenance of minutes as it pertains to peer review. Provide support for Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) of privileged providers to evaluate current competency and quality of patient care. Provides data analysis and ongoing evaluation of data integrity related to OPPE, FPPE, and Peer Review. Assists with medical staff meetings and credentialing.
Requirements
- Bachelor's Degree in Nursing or related healthcare background.
- More than 3 years experience required.
- Registered Nurse in Iowa and/or Illinois.
- Certified Professional Medical Services Management (CPMSM), Certified Provider Credentialing Specialist (CPCS), or Certified Professional Healthcare Quality (CPHQ).
Nice To Haves
- Certified Professional Medical Services Management (CPMSM)
- Certified Provider Credentialing Specialist (CPCS)
- Certified Professional Healthcare Quality (CPHQ)
Responsibilities
- Coordinates peer review process.
- Monitors regulatory compliance of CMS and TJC related to Genesis Medical Centers’ privileged providers.
- Provides administrative support for conflict management.
- Responsible for medical staff committee agenda development, accurate recording of discussions and actions, and appropriate follow up and maintenance of minutes as it pertains to peer review.
- Provides support for Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) of privileged providers to evaluate current competency and quality of patient care.
- Provides data analysis and ongoing evaluation of data integrity related to OPPE, FPPE, and Peer Review.
- Assists with medical staff meetings and credentialing.
Benefits
- Charity care
- Community benefit programs
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
