Clinical Peer Review Analyst I

Novant Health; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare organization is seeking a Medical Staff Peer Review RN to oversee peer review processes, ensuring effectiveness in evaluating professional practices. The role requires facilitating committees, providing accurate clinical summaries, and engaging with medical staff leadership, all while promoting a culture of diversity and inclusion. The ideal candidate will have strong critical thinking capabilities and experience in high-pressure environments.

Qualifications

• Minimum three years of recent hospital/ambulatory healthcare experience required.
• Registered Nurse licensure is mandatory.
• Experience in high risk/high volume areas preferred.

Responsibilities

• Coordinate and facilitate Medical Staff Peer Review committees.
• Provide leadership in evaluating issues related to professional practice.
• Ensure confidentiality and protection of review documentation.

Skills

Critical thinking

Communication

Leadership

Organizational skills

Problem solving

Data analysis

Presentation skills

Education

BS in Nursing

Tools

Microsoft Office

Job description

Job Summary

This position requires clinical knowledge to ensure that the inpatient and ambulatory peer review process is effective in evaluating issues related to professional practice. The Medical Staff Peer Review RN is responsible for coordinating & facilitating Novant Health Medical Staff Peer Review committees, including participation in Focused Professional Practice Evaluation (FPPE) and Ongoing Professional Practice Evaluation (OPPE) applicable to scope of responsibilities, and activities across defined departments. Provides leadership and support to assure the Medical Staff Peer Review process and Peer Review Committees are effective in evaluating issues related to professional practice. The Medical Staff Peer Review RN works closely with Medical Staff leadership, Medical Staff Services, and Central Verification Office providing accurate clinical summaries, data base management, reports and analysis. Assures confidentiality and full protection of all written, verbal, and electronic discussions and documentation associated with the work product of peer review, OPPE, FPPE and all Medical Staff quality activities associated with the duties and responsibilities of this position.

At Novant Health, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities.

Responsibilities

It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.

• Our team members are part of an environment that fosters team work, team member engagement and community involvement.
• The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
• All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".

Qualifications

• Education: 4 Year / Bachelors Degree, required. BS in Nursing or equivalent.
  
• Experience: Minimum three years of recent hospital/ambulatory healthcare experience, required. Three Years Multidisciplinary experience in “high risk/high volume” areas, e.g., emergency department, operating room, Labor and Delivery or intensive care, preferred.
• Licensure/certification/registration: Registered Nurse, required.
• Additional skills required:
  • Must possess excellent critical thinking, communication, leadership, organizational, and problem solving.
  • Expertise in Microsoft Office products. Understanding of personal computers and database management.
  • Ability to present statistical information and event timelines in a concise manner.
  • Good knowledge of chart abstraction processes.
  • Good understanding of patient identification processes and components in patient management.
  • Working knowledge of nursing documentation practices and resource tools.
  • Acute awareness of confidentiality of information collected, analyzed and presented.
  • Ability to successfully complete generic, department, and database-specific skills.
  • Working knowledge of ICD-10 diagnosis and ICD-10 procedure codes.
  • Data analysis and data presentation skills.

Job Opening ID

94077

• Education: 4 Year / Bachelors Degree, required. BS in Nursing or equivalent.
  
• Experience: Minimum three years of recent hospital/ambulatory healthcare experience, required. Three Years Multidisciplinary experience in “high risk/high volume” areas, e.g., emergency department, operating room, Labor and Delivery or intensive care, preferred.
• Licensure/certification/registration: Registered Nurse, required.
• Additional skills required:
  • Must possess excellent critical thinking, communication, leadership, organizational, and problem solving.
  • Expertise in Microsoft Office products. Understanding of personal computers and database management.
  • Ability to present statistical information and event timelines in a concise manner.
  • Good knowledge of chart abstraction processes.
  • Good understanding of patient identification processes and components in patient management.
  • Working knowledge of nursing documentation practices and resource tools.
  • Acute awareness of confidentiality of information collected, analyzed and presented.
  • Ability to successfully complete generic, department, and database-specific skills.
  • Working knowledge of ICD-10 diagnosis and ICD-10 procedure codes.
  • Data analysis and data presentation skills.

It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.

• Our team members are part of an environment that fosters team work, team member engagement and community involvement.
• The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
• All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".