Registered Nurse - Peer Review Coordinator

ID_SARMC Saint Alphonsus Health System, Inc.; Nampa (ID); Hybrid; USD 85,000 - 115,000; Full time

Benefits offered by this job

Market-competitive pay

Generous PTO

Comprehensive benefits beginning day 1

Retirement matching

College savings plans

Life insurance plans

Employee Assistance Programs

Tuition reimbursement

Educational opportunities

Job summary

Saint Alphonsus Health System is seeking a Peer Review Coordinator to manage data collection, analysis, and reporting for performance improvement and physician peer reviews. You will coordinate with Medical Staff Office and Risk Management while ensuring regulatory compliance and data integrity.

The role requires Idaho RN licensure, 3+ years working with physicians, and strong project management. A BSN is preferred; remote optional day will be integrated as training progresses within a hybrid

Qualifications

• RN license in Idaho with 3+ years coordinating with physicians.
• BSN preferred, or 8+ years of RN experience.
• Inpatient clinical experience and project management preferred.

Responsibilities

• Works with Risk Management to facilitate focused peer reviews for physician cases.
• Coordinates focused evaluations with Medical Staff Office and ongoing professional practice evaluations.
• Reviews care documented in the medical record to identify deviations from standards of care.
• Facilitates quality improvement efforts and data element validation for the medical staff.
• Maintains peer review confidentiality and ensures regulatory compliance.

Skills

RN license in Idaho

Experience with physicians

Project management

Inpatient clinical experience

Familiarity with medical specialties

Education

BSN preferred

8+ years RN experience

Job description

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:

• We offer market-competitive pay
• Generous PTO
• Multiple options for comprehensive benefits that begin on day one
• Retirement planning and matching
• College savings plans for your family
• Multiple life insurance plans that can change as your needs develop
• Employee Assistance Programs
• Tuition reimbursement
• Educational opportunities to help you learn and grow

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.

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.

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs. For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.