RN-Peer Review Coordinator

Medical Staff Peer Review Coordinator

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.

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.

Exceptionally strong interdisciplinary collaboration skills.

Knowledge of peer review concepts and process and risk management principles preferred.

Knowledge of guidelines, healthcare standards, and regulations, (i.e.: evidence-based, CMS, TJC, AHRQ Patient Safety Indicators, Hospital Acquired Conditions) preferred.

Knowledge of quality improvement methodologies and analytic tools and methods preferred.

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

If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.