Medical Staff Peer Review Coordinator

For more than a century, Fairfield Medical Center has been a regional healthcare provider who delivers exceptional care to our patients by creating exceptional experiences for our employees.

The driver behind our culture is that we all believe in the value of it, and we hire people into the organization who are also committed to making a difference. Our employees truly go the extra mile to serve our patients and each other.

When you join us, you become part of our team; it is our goal to not only be the best place you will ever work, but the only place you will want to work. Join our team. Make a difference.

Pay Rate: $26.57-$43.76 hourly

Job Description:

The Peer Review Coordinator manages the Medical Staff/Advanced Practice Provider peer review process consistent with guidelines set forth by the Fairfield Medical Center (FMC) medical staff and regulatory agencies; assists with Physician and Advanced Practice Provider performance improvement initiatives, coordinates clinical and non-clinical performance improvement according to regulatory standards and organizational goals.

Under the direction of the Manager of Medical Staff Services, the Medical Staff Peer Review Coordinator manages the Medical Staff and Advanced Practice Provider peer review process by supporting the Credentials Committee, Medical Staff Quality Committee (MSQC), and Practitioner Effectiveness Committee (PEC) by researching and coordinating cases and focused reviews. This includes abstracting, reviewing, analyzing and summarizing medical records for use in the Medical Staff and Advanced Practice Provider peer review process.

Manages Ongoing Professional Practice Evaluation (OPPE) and assists with Focused Professional Practice Evaluation (FPPE) reports.

Manages all Medical Staff Peer Review meetings and serves as a liaison between various committees to facilitate communication and referral of cases for further physician review, and report results back to referring committee.

Assists with development and implementation of strategies for improving performance.

Prepares and provides information for departmental improvement activities, credentialing, and reappointment.

Prepares and coordinates responses to accreditation and regulatory surveys or visits with a focus on medical staff quality.

Maintains knowledge of The Joint Commission and the Centers for Medicare and Medicaid Services requirements pertaining to the medical staff peer review process.

Maintains knowledge of the FMC Medical Staff Bylaws and related policies.

Other duties as assigned.

Job Qualifications:

Bachelor of Science in Nursing from an accredited school of professional nursing required. Masters degree is preferred.

Current/Active RN License.
3-5 years of acute care, hospital-based clinical experience. Experience in statistical concepts, data management, variance tracking and data interpretation.

Knowledge of The Joint Commission and the Centers for Medicare and Medicaid Services requirements pertaining to the medical staff peer review process.

Exerting up to 10 pounds of force occasionally (Occasionally: activity or conditions exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary Work involves sitting most of the time, but may involve walking or standing for brief periods of time.

Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
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