Medical Staff Peer Review and Performance Improvement Specialist (Full-Time, 40, Day Shift)

RESPONSIBILITIES

I. JOB SUMMARY:

• Facilitates peer review and performance improvement activities (case review, professionalism review, practitioner health, OPPE reports) for the Medical Staff in accordance with the mission of The Queen’s Health Systems (QHS).
• Produces reports for the medical staff reappointment process.
• Facilitates activities of the Professional Practice Evaluation Committee (PPEC) and Leadership Council.
• Meets requirements of regulatory and accreditation agencies.

II. TYPICAL PHYSICAL DEMANDS:

A. ESSENTIAL FUNCTIONS:

• Seeing. Hearing. Speaking. Finger Dexterity.

B. MANUAL MATERIAL HANDLING:

• Infrequent: Lift waist to shoulder between 6-10 lbs. Carry between 6-10 lbs. Push and Pull between 6-10 lbs.
• Occasional: N/A
• Frequent: N/A
• Constant: N/A

C. NON-MANUAL MATERIAL HANDLING:

• Infrequent: Stoop/Bend. Kneel. Climb: Stairs/Ladder. Reach: shoulder level.
• Occasional: Stand. Walk.
• Frequent: N/A
• Constant: Sit.

III. TYPICAL WORKING CONDITIONS:

• Not substantially subjected to adverse environmental conditions.
• Work environment may be stressful due to workload.

IV. MINIMUM QUALIFICATIONS:

A. EDUCATION:

• Bachelor's degree required, preferably in a health care related field; or four (4) years of progressive experience in healthcare may be substituted for the educational requirement.

B. CERTIFICATION AND LICENSURE:

• No certification and/or licensure requirement.

C. EXPERIENCE:

• In addition to the educational requirement, one (1) year of medical staff peer review and performance improvement experience in a healthcare facility; or two (2) years of clinical experience.
• Knowledge of regulatory and licensing agency standards, medical staff bylaws, and rules/regulations. Ability to interpret and apply guidelines and procedures.
• Knowledge and skill in data collection, data entry, data analysis, data presentation and reporting.
• Skill in establishing and maintaining effective working relationships with staff, physicians, consultants, hospital committees, administrators, and staff.
• Ability to communicate effectively both orally and in writing with all levels throughout the organization.
• Proficiency with Microsoft office applications, i.e. Word, Excel, Outlook, etc.
• Prior experience in medical staff credentialing/reappointment preferred.

Equal Opportunity Employer / Disability / Vet

Your Health. Our Legacy

Our Mission: To fulfill the intent of Queen Emma and King Kamehameha IV to provide in perpetuity quality health care services to improve the well-being of Native Hawaiians and all of the people of Hawai‘i.

Compassion guides our actions

Aloha inspires us in all that we do

Respect and understanding are essential for the dignity of all

Excellence is our quest