Quality Review Specialist

Hourly Pay Range $38.67 - $59.94 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Position Highlights Position: Quality Review Specialist Location: Evanston, IL Full Time: 40 hours/week Hours: Monday-Friday, 8:00a-5:00p What You Will Do Coordinate the medical staff peer review process for designated Entity departments and system service line(s). Prepare peer review case summaries and ensure appropriate case routing to physician reviewers or committees. Collect, review, and analyze clinical data and documentation related to potential peer review cases. Facilitate peer review committee meetings including agenda, minutes, and key follow ups in collaboration with Medical Staff Department Chair(s). Prepare Executive, Board level reports including practice trends, improvement activities, and adjudication activities of the peer review/quality committees. Collaborate with Medical Staff Leadership to develop relevant, specialty specific rate, rule, and peer review indicators. Support and facilitate ongoing professional practice evaluation (OPPE) and focused professional practice evaluation (FPPE) per policy. Ensure compliance with The Joint Commission (TJC), CMS, and hospital policies regarding Medical Staff peer review, OPPE, FPPE, and quality. Support for accreditation activities including Medical Staff standards compliance and survey ready mindset. Key content expert for physician orientation, education on peer review processes, principles of just culture, and quality improvement. Provides guidance and education for other key stakeholders as well. Work closely with the Medical Staff Office to support credentialing and reappointment processes with OPPE, peer review outcomes. Support nursing peer review practice, indicator development, data trending, and improvement. Quality of care, outcome clinical reviews (e.g., Patient Safety Indicators, QIO, etc.) includes data trending and performance opportunities. Other quality initiatives and projects as assigned. Minimum Education Level REQUIRED : Bachelor's degree in a clinically focused area (e.g., Nursing, Occupational Therapy, Physical Therapy, Pharmacy, Health Information Technology, or other healthcare-related field). PREFERRED : Master's degree clinically focused area (e.g., Nursing, Occupational Therapy, Physical Therapy, Pharmacy, Health Information Technology, or other healthcare-related field). Minimum Licensure Requirements REQUIRED : Registered Nurse (RN) licensure in State of Illinois or other relevant clinical license in the State of Illinois. Minimum Certification Requirements Certified Professional in Healthcare Quality (CPHQ), preferred. Minimum Work Experience 5 – 7 years of clinical experience. Benefits (for Full And Part Time Positions) Premium pay for eligible employees. Career Pathways to Promote Professional Growth and Development. Various Medical, Dental, and Vision options. Tuition Reimbursement. Free Parking at designated locations. Wellness Program Savings Plan. Health Savings Account Options. Retirement Options with Company Match.Paid Time Off. Community Involvement Opportunities. EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor. #J-18808-Ljbffr