RN-Peer Review Coordinator

01 Kaweah Delta Health Care District; Visalia (CA); On-site; USD 97,000 - 145,000; Full time

Job summary

Kaweah Health in Visalia, CA is seeking a team-oriented professional to oversee the Medical Staff Peer Review process. The role requires an active RN license and at least three years of acute care experience.

Experience with Cerner EMR and strong collaboration skills are essential. Responsibilities include coordinating peer review activities, maintaining confidentiality, preparing agendas, and providing data on practice patterns and outcomes to support quality and risk management across the

Qualifications

• Current Registered Nurse License
• Bachelor's degree is preferred
• Three years clinical experience in an acute care setting
• Experience with Cerner EMR
• Strong computer skills (MS Office) and analytics
• Knowledge of peer review concepts and risk management principles preferred

Responsibilities

• Essential Supports and coordinates the Medical Staff Peer Review committees and activities as outlined in the Peer Review and Code of Conduct policy including but not limited to
• Maintains the confidentiality of patients, practitioners, and the organization
• Identifies cases which meet the criteria for preliminary clinical or behavioral case review
• Assists peer reviewers in obtaining or provide a complete medical record, imaging studies and other documentation reasonably required to perform Peer Review
• Coordinates and communicates with physicians and/or their offices in regard to screening, scoring and assist with their presentation of select cases for peer review or unprofessional behavior review
• Attends the medical staff peer review behavior meetings and other related ad hoc meetings
• Provides full administrative support which includes preparation of agendas, material gathering, speaker scheduling, chair preparation, recording minutes, and coordinating follow up processes and activities
• Provides data identifying the relevant practice patterns and trends of the Practitioner related to defined departmental outcomes
• Maintains positive working relationships with medical staff, nursing, and ancillary services as it relates to peer review processes
• Performs preliminary (RN level) case review and highlight the potentially relevant issues
• Provides relevant benchmark comparisons of the Practitioner under review
• Identifies instances of clinical performance and/or unprofessional conduct regarding non-Practitioner staff
• Facilitates timely and accurate triage of Medical Staff related Risk Events
• Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area
• Performs other duties as assigned

Skills

Interdisciplinary collaboration

Communication skills

Computer skills

Quality improvement

Education

Bachelor's degree

Registered Nurse License

Tools

Cerner EMR

Microsoft Office

Excel

Word

Job description

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community.

Benefits Eligible Part-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 8710 Medical Staff Services

A team-oriented and quality focused professional who is responsible for overseeing the Medical Staff Peer Review process.

QUALIFICATIONS

• License /Certification Required: Current Registered Nurse License
• Education Preferred: Bachelor's degree
• Experience Required: Three years clinical experience in an acute care setting.
• Experience with Cerner EMR.
• Preferred: Quality management experience.
• Knowledge/Skills/Abilities Strong computer skills to include Microsoft Office, Word, and Excel.
• Knowledge/Skills/Abilities Exceptionally strong interdisciplinary collaboration skills.
• Knowledge/Skills/Abilities Knowledge of peer review concepts and process and risk management principles preferred.
• Knowledge/Skills/Abilities Knowledge of guidelines, healthcare standards, and regulations, (i.e.: evidence-based, CMS, TJC, AHRQ Patient Safety Indicators, Hospital Acquired Conditions) preferred.
• Knowledge/Skills/Abilities Knowledge of quality improvement methodologies and analytic tools and methods preferred.
• Knowledge/Skills/Abilities Strong communication skills, both written and verbal preferred.

JOB RESPONSIBILITIES

• Essential Supports and coordinates the Medical Staff Peer Review committees and activities as outlined in the Peer Review and Code of Conduct policy including but not limited to:
• Maintains the confidentiality of patients, practitioners, and the organization.
• Identifies cases which meet the criteria for preliminary clinical or behavioral case review.
• Assists peer reviewers in obtaining or provide a complete medical record, imaging studies and other documentation reasonably required to perform Peer Review.
• Coordinates and communicates with physicians and/or their offices in regard to screening, scoring and assist with their presentation of select cases for peer review or unprofessional behavior review.
• Attends the medical staff peer review behavior meetings and other related ad hoc meetings.
• Provides full administrative support which includes preparation of agendas, material gathering, speaker scheduling, chair preparation, recording minutes, and coordinating follow up processes and activities.
• Provides data identifying the relevant practice patterns and trends of the Practitioner related to defined departmental outcomes.
• Maintains positive working relationships with medical staff, nursing, and ancillary services as it relates to peer review processes.
• Performs preliminary (RN level) case review and highlight the potentially relevant issues.
• Provides relevant benchmark comparisons of the Practitioner under review.
• Identifies instances of clinical performance and/or unprofessional conduct regarding non-Practitioner staff.
• Facilitates timely and accurate triage of Medical Staff related Risk Events.
• Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area.
• Performs other duties as assigned.

Pay Range $46.44 -$69.66