Employment Type:

Full time

Shift:

Day Shift

Description:

GENERAL SUMMARY AND PURPOSE:

The Lead Peer Review Coordinator is responsible for overseeing the peer review processes within the organization. This role involves leading multiple team members and medical staff committees, ensuring compliance with peer review standards, and providing leadership and guidance to staff. The Lead Peer Review Coordinator will coordinate operational aspects of the department, conduct and evaluate the effectiveness of peer review initiatives to enhance patient care quality and safety within our medical staff.

SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE :

• Colleague must have an Idaho RN license issued prior to the hire date.

• Multistate licenses must establish residency with the Idaho Board of Nursing within 60 days from hire.

• Must have five (5) years of experience working with physicians and other clinical staff.

• Minimum of two (2) years of experience working in quality and/or peer review department. Minimum of associate’s degree in nursing.

• Inpatient clinical experience preferred.

• Project management experience preferred.

• Experience in medical specialties included but not limited to Anesthesia, Cardiology, Emergency Medicine, Family Medicine, Internal Medicine, OB/GYN, Orthopedics, Neurology/Neurosurgery, Pediatrics, Psychology, General Surgery, Thoracic Surgery, and Vascular Surgery is preferred.

• Experience in an acute care setting preferred.

ESSENTIAL FUNCTIONS :

• Knows, understands, incorporates, and demonstrates the Organization's Mission, Vision, and Values in behaviors, practices, and decisions.

• Works with Risk Management to facilitate focused peer reviews for physician cases. Works with Medical Staff Office to coordinate focused professional practice evaluations and ongoing professional practice evaluations when physicians' quality of care is questionable.

• Uses clinical expertise to review care documented in the medical record for the purpose of identifying practice/events that fall outside established standards of care.

• Participates in medical staff department and committee meetings to exchange information and ensure consistency across all medical staff departments.

• Determines if peer review is indicate and/or enlists the appropriate parties to address any non-peer review issues.

• Assists in facilitating quality improvement efforts through identification and validation of data elements for the medical staff and health system.

• Identifies and investigates medical staff complexities and issues as it pertains to patient care and involve appropriate stakeholders for policy changes and/or actionable items.

• Ensures the work of the department meets the accreditation and regulatory requirements for peer review including but not limited to ongoing professional practice evaluation.

• Serves as a resource to others in the resolution of complex problems and issues pertaining to provider peer review.

• Facilitates and coordinates all medical staff peer review committee(s) to the appropriate medical staff/provider audiences.

• Performs other duties and responsibilities as assigned.

• Oversees/verifies production of peer review dashboards and physician reappointment data, with the Data Team.

• Provides team members with all required documentations for Medical department meetings (e.g. locations of required charts, current status reports, history of reviews).

• Maintains the peer review database – ensures data integrity.Works with medical staff department chairs, Credentials and Office of Medical Affairs to coordinate the aforementioned functions.

• Oversees peer review related dashboard indicators.

• Maintains confidentiality per Idaho Code 39-1392.Develops visual display of data and control chartsUses, reviews, and evaluates lab results, diagnostic studies, and medication administration.

• Sound understanding of all federal and state regulations including JHACO compliance.Ability to measure and evaluate data, including methods to track implementation of action plans.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran