Job Description

Employment Type:

Full time

Shift:

Day Shift

Job Title Peer Review Specialist

Department: Medical Affairs

Shift: 1st Shift

Status: 1.0 (40 hours a week)

Purpose: Provides assistance to medical staff leaders and medical staff members. Coordinates peer review process. Responsible for monitoring regulatory compliance of CMS and TJC related to Genesis Medical Centers’ privileged providers. Provide administrative support for conflict management. Responsible for medical staff committee agenda development, accurate recording of discussions and actions, and appropriate follow up and maintenance of minutes as it pertains to peer review. Provide support for Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) of privileged providers to evaluate current competency and quality of patient care. Provides data analysis and ongoing evaluation of data integrity related to OPPE, FPPE, and Peer Review. Assists with medical staff meetings and credentialing. Report To: Manager

Supervisory Responsibility: No Supervision: The job does not require the provision of guidance or supervision to others. There is no formal responsibility for directing others.

Materials Responsibility: Moderate: Work requires moderate responsibility for material resources. Examples of resources could include operating budgets for a work unit or department, specialized equipment, costly or unusual materials or supplies, large amounts of cash or other material assets. The employee has a moderate amount of control over these resources. The cost of errors might result in moderate damage, waste or financial loss. The difficulty, variety and depth of problems associated with these material resources is moderately

Key Relationships: Co-workers/Health System Employees, Outside Agencies/Other Health Care Providers, General Public/Visitors/Volunteers, Physicians/Medical Office Staff, Students/Interns/Residents/Outside Instructors, Patients, Families, and Significant Others, Auditors/Review Agencies, Attorneys

POSITION SPECIFICATIONS

Education Bachelor's Degree

Field OF Study: Nursing or related healthcare background

Training Preferred: Registered Nurse in Iowa and/or Illinois, Certified Professional Medical Services Management (CPMSM), Certified Provider Credentialing Specialist (CPCS), or Certified Professional Healthcare Quality (CPHQ)

Experience: More than 3 years experience required.

Interpersonal Skills: Interaction is with a variety of people inside or outside the organization. Communications are of moderate difficulty and sensitivity. Contact with others may involve detailed & lengthy dialogues & exchanges of information. Requires a moderate amount of interpersonal skills. Interactions involve dealing with moderately complicated problem

Working Condition: There is very limited exposure to adverse environmental conditions. Some undesirable or unpleasant environmental characteristics may occur but the physical environment is generally safe and there is minimal health risk. No safety equipment or unusual precautions are required. The amount of time the employee may experience these minor adverse conditions would be limited to 10% or less of the work day.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are 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, veteran status, or any other status protected by federal, state, or local law.