Registered Nurse - Peer Review Coordinator

Trinity Health•Nampa, ID

About The Position

The Peer Review Coordinator is responsible for accurately collecting, analyzing, and reporting data related to performance improvement, provider peer review, and appointment or reappointment considerations. The role coordinates the physician peer review process, including information control and direct one-on-one communication, and integrates peer review with Medical Records processes. The coordinator communicates with physicians, the Office of Medical Affairs, Medical Records Services, and Performance Improvement colleagues, and works effectively as part of a team of performance improvement professionals. The schedule is Monday through Friday, either five 8-hour shifts or four 10-hour shifts. One remote day per week is available once fully trained. The role also oversees peer review dashboards and physician reappointment data with the Data Team, maintains peer review database integrity, and supports medical staff meetings with required documentation and reports.

Requirements

Licensed RN in Idaho.
Minimum of 3 years of experience working with physicians and clinical staff.
Sound understanding of federal and state regulations, including JHACO compliance.

Nice To Haves

BSN preferred, or 8+ years of professional RN experience.
Inpatient clinical experience preferred.
Project management skills preferred.
Familiarity with a wide range of medical specialties and acute care settings is a plus.

Responsibilities

Work with Risk Management to facilitate focused peer reviews for physician cases.
Coordinate focused and ongoing professional practice evaluations with the Medical Staff Office when a physician's quality of care is questionable.
Review medical record documentation using clinical expertise to identify practices or events outside established standards of care.
Participate in medical staff department and committee meetings to exchange information and promote consistency across departments.
Determine whether peer review is indicated and involve appropriate parties to address issues outside the peer review process.
Support quality improvement by identifying and validating data elements for the medical staff and health system.
Identify and investigate medical staff complexities and patient-care issues, involving appropriate stakeholders in policy changes or actionable items.
Ensure departmental work meets accreditation and regulatory requirements for peer review, including ongoing professional practice evaluation.
Serve as a resource to others resolving complex provider peer review problems and issues.
Facilitate and coordinate medical staff peer review committees for the appropriate medical staff and provider audiences.
Oversee and verify, with the Data Team, production of peer review dashboards and physician reappointment data.
Provide team members with documentation for medical department meetings, including required chart locations, current status reports, and review histories.
Maintain the peer review database and ensure data integrity.
Coordinate peer review functions with medical staff department chairs, Credentials, and the Office of Medical Affairs.
Oversee peer review-related dashboard indicators.
Maintain confidentiality in accordance with Idaho Code 39-1392.
Develop visual data displays and control charts.
Use, review, and evaluate laboratory results, diagnostic studies, and medication administration.
Measure and evaluate data, including methods for tracking implementation of action plans.
Perform other duties and responsibilities as assigned.