Medical Staff Peer Review & Projects Coordinator - RN

Medical Staff Peer Review & Projects Coordinator - RN

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Pay Range: $46.87 - $65.76

SEARHC is a non‑profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.

Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health, dental, and vision benefits, life insurance and long and short‑term disability, and more.

• Coordinates the Peer Review committee, sets agenda, facilitates or chairs meetings using Roberts Rules of Order, ensures productive and timely completion of reviews.
• Assist in the development, implementation and maintenance of comprehensive peer review, OPPE and FPPE policies and procedures aligned with regulatory requirements including federal and state statutes, accrediting agencies and hospital bylaws.
• Oversee the selection, training and ongoing performance evaluation of peer reviewers and ancillary staff.

• Coordinate and oversee the quality review of the medical staff peer review process to assess clinical performance, competency, and quality of care provided by healthcare professionals.
• Investigate and conduct review of medical records using clinical indicators approved by various subcommittees to assess appropriateness of treatment and compliance with current clinical practice guidelines.
• Use objective case findings and data to identify opportunities for improvement including patient safety issues and quality outcomes.
• Present specific cases, incidents, or performance metrics that need attention, highlighting key concerns, trends, or areas of improvement.

• Assist, support and oversee the monitoring of OPPE processes and policies, which involve continuous evaluation of the clinical performance and professional competence of medical staff.
• Analyze performance data (i.e. patient outcomes, patient satisfaction, and clinical practice metrics) for ongoing professional practice evaluations (OPPE) to monitor the clinical competence and performance of medical staff on a continuous basis.
• Identify trends or areas of concern in clinical performance and collaborate with department leaders and medical staff to address these issues promptly.

• Assist, support and oversee the monitoring of FPPE processes and policies for new providers, or providers seeking new privileges to assess their competence within the scope of requested privileges, or as a result of a peer review finding that requires a focused evaluation.
• Analyze performance data using clinical indicators approved by medical staff and various subcommittees as required to monitor the clinical competence and performance of medical staff.
• Review and monitor performance during the FPPE period, working with medical staff and leadership to determine appropriate corrective actions if needed.
• Analyze data and provide feedback on performance to ensure that FPPE activities are effective in addressing performance deficiencies and improving clinical outcomes.
• Ensure that FPPE processes are timely, well‑documented, and compliant with hospital policies and accreditation standards.

• Communicate findings and recommendations from peer review, OPPE, FPPE to medical staff leadership, providers and quality improvement departments. Communication must be professional, objective, concise and constructive with the goal of non‑punitive actions and positive reinforcement.
• Attend all subcommittee meetings and QM meetings including OB, MEMC and WMC hospitalists, STA, Restraints, Trauma Quarterly Meetings, PQIC and CPIC and other quality/safety, patient care issue meetings as assigned or requested.

• All peer review activities and outcomes will be tracked using Smart Sheet or other format that will ensure accurate data extraction and will be in…