Queen's Health System

Medical Staff Peer Review and Performance Improvement Specialist (Full-Time, 40, Day Shift)

RESPONSIBILITIES

I. JOB SUMMARY/RESPONSIBILITIES:

• Facilitates peer review and performance improvement activities (case review, professionalism review, practitioner health, OPPE reports) for the Medical Staff in accordance with the mission of The Queen’s Health System (QHS).

• Produces reports for the medical staff reappointment process.

• Facilitates activities of the Professional Practice Evaluation Committee (PPEC) and Leadership Council.

• Meets requirements of regulatory and accreditation agencies.

II. TYPICAL PHYSICAL DEMANDS:

• Essential: seeing, hearing, speaking.

• Constant: sitting.

• Occasional: standing, walking, finger dexterity.

• Infrequent: kneeling, climbing stairs, stooping/bending, lifting, pushing/pulling and carrying usual weight of 10 pounds, reaching above, at and below shoulder level.

• Operates computer, copier, facsimile, and telephone.

III. TYPICAL WORKING CONDITIONS:

• Not substantially subjected to adverse environmental conditions.

• Work environment may be stressful due to workload.

IV. MINIMUM QUALIFICATIONS:

A. EDUCATION/CERTIFICATION AND LICENSURE:

• Bachelor's degree in health care related field.

B. EXPERIENCE:

• One (1) year medical staff peer review and performance improvement experience in a healthcare facility; or two (2) years clinical experience with competency in summarizing patient’s medical history.

• Knowledge of regulatory and licensing agency standards, medical staff bylaws, and rules/regulations. Ability to interpret and apply guidelines and procedures.

• Knowledge and skill in data collection, data entry, data analysis, data presentation and reporting.

• Skill in establishing and maintaining effective working relationships with staff, physicians, consultants, hospital committees, administrators, and staff.

• Ability to communicate effectively both orally and in writing with all levels throughout the organization.

• Proficiency with Microsoft office applications, i.e. Word, Excel, Outlook, etc.

• Prior experience in medical staff credentialing/reappointment preferred.

Equal Opportunity Employer/Disability/Vet

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