Practice Evaluation Specialist III
Location
United States
Posted
8 days ago
Salary
$80K - $105K / year
Seniority
Mid Level
No structured requirement data.
Job Description
Practice Evaluation Specialist III
Chartis
Role Description Under the general direction of the Director, Medical Staff Services and the Chief Medical Officer, this position is responsible for managing the coordination of internal and external provider peer review. Duties include: - Comprehensive quality review of the electronic medical record (EMR) - Abstraction and appropriate documentation of findings - Review and analysis of clinical indicators related to practitioner medical management and practice patterns - Support the quality program to meet Joint Commission, CMS, Medical Staff Bylaws, and other regulatory requirements - Compile data to evaluate the initial and ongoing quality of care and competency of the Medical Staff - Aggregate and report clinical competency and other data to Medical Staff leadership and hospital leadership - Possess excellent communication skills for data presentation and reporting to various Medical Staff and hospital committees - Provide data and education to Medical Staff Chiefs and providers based upon peer review findings and audit results - Possess critical thinking skills Responsibilities - Exemplifies Mission Hospital and CHOC at Mission values and Service Excellence standards - Commits to making every encounter with patients, patients’ family, co-workers, physicians, and other customers the best that it can be - Complies with all Mission Hospital and CHOC at Mission policies and the Code of Business Conduct - Maintains current tuberculosis testing - Takes responsibility for own safety as well as the safety of patients, patients’ family, co-workers, physicians, and other customers - Responsible for reviewing cases generated by chosen indicators or referred by other sources - Generate peer review worksheets and assign them to appropriate committee for review - Facilitate timely review, case action(s) and completion of reviews in collaboration with Medical Staff Department Chairs and/or their designees, Committees, and Administration - Collaborate and coordinate with Medical Staff Services Practice Evaluation Specialists to support an effective and continuously improving medical staff peer review program - Keep abreast of (TJC/CMS) Medical Staff Standards in relation to peer review - Educate medical staff leaders, hospital leaders and providers, fostering a commitment to compliance with these programs throughout the hospital - Participate in mandatory training requirements as per hospital/unit policy - Engage in continuing education/in-services to enhance knowledge - Contribute to performance improvement initiatives - Attend staff meetings - Assist in the orientation of new staff, students, and/or volunteers Qualifications - Strong knowledge of clinical practice and/or hospital operations required - EPIC experience - Degree in nursing or related healthcare field, preferred - Minimum of two years of clinical experience - Working knowledge of the peer review process, including confidentiality, physician rights, and hospital by-laws - Understanding of disease and healthcare processes - Experience in reviewing medical record content and hospital, State and Federal regulations regarding patient rights and confidentiality - Experience in patient safety initiatives, clinical quality process improvement, and new program/initiative development, implementation, and evaluation - Basic understanding of the research process and statistical analysis - Strong interpersonal skills; leadership/mentoring skills - Ability to communicate effectively with all levels of management and staff across the System - Strong oral and written communication skills including presentation skills - Proficient computer skills with extensive experience using various software applications such as Microsoft Word, Excel, and Outlook - Experience with clinical/healthcare software applications preferred - Demonstrated knowledge and skills in statistical presentations Requirements - Salary range: $80,000-105,000, plus may be eligible for an annual discretionary bonus - The salary range for this role takes into account various factors including skills, experience, training, licensure and certifications, practice area, and other business and organizational needs Benefits - Medical, dental, vision - HSA, FSA - Disability insurance - Life insurance - 401(k) match - Paid time off - Wellness stipend - Additional voluntary benefits Company Description At Chartis, we pride ourselves on having a diverse workforce. We value and celebrate the uniqueness of individuals and the different perspectives they provide. We offer equal opportunity employment regardless of race, color, religion, gender identity or expression, sexual orientation, national origin, genetics, disability status, age, marital status, or protected veteran status.
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