Specialist, Peer Review-Full time-Days
About The Position
Join the MercyOne Family! We are looking to hire a Specialist, Peer Review! As a Specialist, Peer Reviewer at MercyOne, you will provide 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 as requested.
Requirements
- Bachelor's Degree in Nursing or related healthcare background.
- More than 3 years experience required.
- Interaction is with a variety of people inside or outside the organization.
- Communications are of moderate difficulty and sensitivity.
- Contact with others may involve detailed & lengthy dialogues & exchanges of information.
- Requires a moderate amount of interpersonal skills.
- Interactions involve dealing with moderately complicated problem situations or stressful encounters.
- Microsoft applications: Word, Excel & PowerPoint.
- Excellent detail-orientation.
Nice To Haves
- Registered Nurse in Iowa and/or Illinois
- Certified Professional Medical Services Management (CPMSM)
- Certified Provider Credentialing Specialist (CPCS)
- Certified Professional Healthcare Quality (CPHQ)
Responsibilities
- 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 as requested.
Benefits
- competitive compensation
- full benefits package
- opportunity for growth throughout the system
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
