Registered Nurse - Peer Review Coordinator

Saint Alphonsus; Nampa (ID); Hybrid; USD 80,000 - 110,000; Full time

Benefits offered by this job

Market-competitive pay

Generous PTO

Benefits begin day one

Job summary

Saint Alphonsus Health System seeks a Peer Review Coordinator to manage data collection, analysis, and reporting for physician peer review and performance improvement activities. You will coordinate with Medical Affairs, Office of Medical Records, and the Data Team to ensure timely, accurate reviews and compliance across the system.

The role requires RN licensure in Idaho, 3+ years of experience with physicians, and project management skills. A BSN is preferred.

Qualifications

• Licensed RN in Idaho.
• Minimum 3 years of experience working with physicians and clinical staff.
• BSN preferred, or 8+ years of professional RN experience.
• Inpatient clinical experience and project management skills preferred.

Responsibilities

• Works with Risk Management to facilitate peer reviews for physician cases and coordinate evaluations.
• Reviews care documented in medical records to identify deviations from standards of care.
• Maintains and coordinates all peer review dashboards and reports with Medical Affairs and Data Team.
• Ensures compliance with accreditation and regulatory requirements for peer review.

Skills

RN license Idaho

RN experience

Project management

Inpatient care

Education

BSN

Job description

Description

At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care.

Employment Type

Full time

Shift

Day Shift

Description

At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care. The Peer Review Coordinator is responsible for accurate collection, analysis, and reporting of data as it relates to performance improvement activities, provider peer review, and data used in consideration for appointment/reappointment. Maintains and coordinates the entire Physician Peer Review process regarding information control and direct one-on-one communication. Analyzes data regarding current and past case reviews and subsequent requested reports, and integration of Peer Review process with medical Records processes. Communicates to and from all physicians and their Office of Medical Affairs and Medical Records Services, and coordinates with members of the Performance Improvement department. Functions effectively within a team of performance improvement professionals.

Schedule

M - F // 5 8 hr shifts or 4 10hr shifts

• 1 remote day a week, once fully trained.

Skills, Knowledge, Education And Experience

• Licensed RN in Idaho.
• Minimum 3 years of experience working with physicians and clinical staff.
• BSN preferred, or 8+ years of professional RN experience.
• Inpatient clinical experience and project management skills preferred.
• Familiarity with a wide range of medical specialties and acute care settings is a plus.

Essential Functions

• Works with Risk Management to facilitate focused peer reviews for physician cases. Works with Medical Staff Office to coordinate focused professional practice evaluations and ongoing professional practice evaluations when physicians' quality of care is questionable.
• Uses clinical expertise to review care documented in the medical record for the purpose of identifying practice/events that fall outside established standards of care.
• Participates in medical staff department and committee meetings to exchange information and ensure consistency across all medical staff departments.
• Determines if peer review is indicate and/or enlists the appropriate parties to address any non-peer review issues.
• Assists in facilitating quality improvement efforts through identification and validation of data elements for the medical staff and health system.
• Identifies and investigates medical staff complexities and issues as it pertains to patient care and involve appropriate stakeholders for policy changes and/or actionable items.
• Ensures the work of the department meets the accreditation and regulatory requirements for peer review including but not limited to ongoing professional practice evaluation.
• Serves as a resource to others in the resolution of complex problems and issues pertaining to provider peer review.
• Facilitates and coordinates all medical staff peer review committee(s) to the appropriate medical staff/provider audiences.
• Performs other duties and responsibilities as assigned.
• Oversees/verifies production of peer review dashboards and physician reappointment data, with the Data Team.
• Provides team members with all required documentations for Medical department meetings (e.g. locations of required charts, current status reports, history of reviews).
• Maintains the peer review database – ensures data integrity.
• Works with medical staff department chairs, Credentials and Office of Medical Affairs to coordinate the aforementioned functions.
• Oversees peer review related dashboard indicators.
• Maintains confidentiality per Idaho Code 39-1392.Develops visual display of data and control charts
• Uses, reviews, and evaluates lab results, diagnostic studies, and medication administration.
• Sound understanding of all federal and state regulations including JHACO compliance.
• Ability to measure and evaluate data, including methods to track implementation of action plans.

Highlights And Benefits

When Saint Alphonsus takes care of you, you can take better care of our patients. We foster personal and professional growth and offer opportunities that empower our colleagues to develop their careers. Our belief in work-life balance compliments the natural beauty, diverse landscapes, and outdoor recreation lifestyle that is unique to Idaho and Oregon.

• We offer market-competitive pay, generous PTO, and multiple options for comprehensive benefits that begin on day one.
• Benefits for your future include retirement planning and matching, college savings plans for your family, and multiple life insurance plans that can change as your needs develop.
• We are proud to offer Employee Assistance Programs, tuition reimbursement, and educational opportunities to help you learn and grow.

Visit www.saintalphonsus.org/careers to learn more!

Ministry/Facility Information

Saint Alphonsus Health System is a faith-based ministry and not-for-profit health system serving Idaho, Oregon, and northern Nevada communities. The health system boasts 4 hospitals, 609 licensed beds, and 73 clinic locations. Through innovative technologies, compassionate staff, and healing environments, Saint Alphonsus' goal is to improve the health and well-being of people by emphasizing care that is patient-centered, physician-led, innovative, and community-based.

• Top 15 Health Systems in the country by IBM Watson Health;
• The region’s most advanced Trauma Center (Level II);
• Commission on Cancer Accredited Program through demonstrating an uncompromising commitment to improving patient survival and quality of life.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.