Let’s get started
By clicking ‘Next’, I agree to the Terms of Service
and Privacy Policy
Jobs / Job page
Peer Review RN Program Manager image - Rise Careers
Job details

Peer Review RN Program Manager - job 2 of 2

Overview

In 2020 united in a fierce commitment to deliver the highest quality care and exceptional patient experience Virginia Mason and CHI Franciscan Health came together as natural partners to build a new health system centered around the patient: Virginia Mason Franciscan Health. Our combined system builds upon the scale and expertise of our nearly 300 sites of care including 11 hospitals and nearly 5000 physicians and providers. Together we are empowered to make an even greater impact on the health and well-being of our communities.

Responsibilities

This job is responsible for coordinating and overseeing multiple Virginia Mason Franciscan Health (VMFH) medical staff peer review programs and for supporting the activities of the medical staff processes related to the Ongoing Professional Practice Evaluations (OPPE) and the Focused Professional Practice Evaluations (FPPE) for practitioners who have been granted clinical privileges. Peer review is instrumental in identifying, tracking and supporting the resolution of clinical performance and/or professional conduct issues in a manner that promotes education, quality improvement and patient safety.

Work involves the support of OPPE and FPPE decision-making processes that are designed to facilitate high quality and safe patient safety initiatives, assure compliance with evidence-based patient care standards, applicable regulatory requirements and promote systemic improvements as defined by The Joint Commission, Centers for Medicare and Medicaid Services and other applicable regulatory bodies. An incumbent oversees the collection and analyses of Quality Indicators and Occurrence Screen data from multiple sources to aggregate data that identifies trends indicating both high quality outcomes as well as trends that indicate substandard outcomes to facilitate quality improvement opportunities for the Medical staff. Work also includes: 1) working with provider teams to support/assist with improvements in provider performance and documentation; 2) overseeing the digitalization and subsequent maintenance of all provider files; and 3) overseeing the work of peer review staff.

Work requires knowledge of peer review systems, standards, processes and regulatory requirements as well as effective methodologies for screening performance against established quality indicators and preparing timely and effective case studies for presentation to medical staff committees. Also requires proficiency in oversight of data collection, analysis, interpretation and presentation to high-level audiences and physician groups. An incumbent is responsible for keeping abreast of current/changing regulatory requirements with potential to impact documentation practices and related training.

Qualifications

Education/Work Experience Requirements:Bachelor’s degree in healthcare administration, nursing or other related discipline, graduation from an accredited school of nursing, and five years of related work experience that would demonstrate attainment of the requisite job knowledge/abilities.

 

Licensure/Certification:Current licensure as a Registered Nurse by the Washington State Nursing Commission.

Average salary estimate

$90000 / YEARLY (est.)
min
max
$80000K
$100000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Peer Review RN Program Manager, UNAVAILABLE

Join the team at Virginia Mason Franciscan Health as a Peer Review RN Program Manager in beautiful Silverdale! In this engaging role, you'll be at the forefront of improvement processes that ensure quality care and enhance patient experiences across our healthcare facilities. This position is not just about oversight; it's a pivotal part of coordinating multiple peer review programs that assess and boost the performance of our dedicated healthcare providers through Ongoing Professional Practice Evaluations (OPPE) and Focused Professional Practice Evaluations (FPPE). You will lead initiatives that scrutinize and elevate clinical performance while fostering a robust culture of learning and patient safety. Your days will be filled with data analysis, trend identification, and collaboration with provider teams to drive quality improvements and compliant practices. If you’re a detail-oriented RN with a passion for healthcare excellence and a knack for navigating regulatory requirements, this may be the perfect opportunity for you! With the support of an exceptional team, you’ll help to shape the future of healthcare in our community while enhancing the experiences of both practitioners and patients alike. A bachelor’s degree in healthcare administration, nursing, or a related field, along with five years of relevant experience, is required. Come make a difference where it counts – apply today!

Frequently Asked Questions (FAQs) for Peer Review RN Program Manager Role at UNAVAILABLE
What are the responsibilities of a Peer Review RN Program Manager at Virginia Mason Franciscan Health?

The Peer Review RN Program Manager at Virginia Mason Franciscan Health is responsible for coordinating and overseeing peer review programs that assess clinical performance through processes like OPPE and FPPE. These responsibilities include supporting medical staff processes, analyzing quality indicators, facilitating compliance with regulatory requirements, and promoting patient safety initiatives. This role requires a thorough understanding of peer review standards and methodologies.

Join Rise to see the full answer
What qualifications are required to apply for the Peer Review RN Program Manager position at Virginia Mason Franciscan Health?

To apply for the Peer Review RN Program Manager role at Virginia Mason Franciscan Health, candidates must have a bachelor’s degree in healthcare administration, nursing, or a related field. Additionally, current licensure as a Registered Nurse by the Washington State Nursing Commission is necessary. Candidates should also have a minimum of five years of related work experience, showcasing their knowledge and abilities in healthcare quality assessment.

Join Rise to see the full answer
How does the Peer Review RN Program Manager contribute to patient safety at Virginia Mason Franciscan Health?

The Peer Review RN Program Manager contributes to patient safety at Virginia Mason Franciscan Health by leading evaluations that focus on clinical performance and adherence to best practices. This role involves overseeing the analysis of quality data to identify trends that impact patient outcomes, ensuring compliance with standards set by regulatory bodies. By promoting education and quality improvement initiatives, the manager plays a vital role in safeguarding patient safety.

Join Rise to see the full answer
What skills are important for a Peer Review RN Program Manager at Virginia Mason Franciscan Health?

A successful Peer Review RN Program Manager at Virginia Mason Franciscan Health should possess strong analytical skills to interpret and present data insights effectively. Proficiency in peer review systems, a deep understanding of regulatory requirements, and excellent communication skills are also crucial. The ability to collaborate with diverse teams and foster a culture of continuous improvement are key attributes for this role.

Join Rise to see the full answer
What is the work environment like for a Peer Review RN Program Manager in Silverdale?

The work environment for a Peer Review RN Program Manager in Silverdale at Virginia Mason Franciscan Health is dynamic and collaborative. You will work closely with healthcare teams, medical staff, and quality improvement committees in a supportive atmosphere focused on enhancing patient care. The role involves both independent and team-oriented tasks, bridging clinical practice and administration in a community-centered healthcare setting.

Join Rise to see the full answer
Common Interview Questions for Peer Review RN Program Manager
What experience do you have with Ongoing Professional Practice Evaluations (OPPE) and Focused Professional Practice Evaluations (FPPE)?

When discussing your experience with OPPE and FPPE, be sure to provide specific examples of how you have implemented or participated in these evaluations. Highlight any successes in improving provider performance or addressing clinical issues and emphasize your understanding of the regulatory requirements associated with these assessments.

Join Rise to see the full answer
How do you ensure compliance with regulatory standards in a healthcare setting?

To ensure compliance with regulatory standards, it's crucial to stay informed about current regulations and guidelines. Discuss your approach to training staff, conducting regular audits, and implementing quality improvement initiatives. Emphasize your experience in maintaining documentation and reporting practices that adhere to the standards set by The Joint Commission and CMS.

Join Rise to see the full answer
Can you describe a time when you identified a trend in clinical performance data? What actions did you take?

When discussing a time you identified a trend in clinical performance data, share the specific trend you noticed, how you gathered and analyzed the data, and the steps you took to address it. Highlight any collaborative efforts with provider teams to implement changes, and the impact your actions had on patient outcomes.

Join Rise to see the full answer
What strategies do you utilize to promote quality improvement within a healthcare team?

To promote quality improvement, I emphasize collaborative strategies, such as team meetings focused on data analysis, goal-setting, and feedback. I encourage a culture of open communication where team members feel empowered to share insights and suggestions. Providing training and access to resources for best practices is also key to fostering improvements in clinical performance.

Join Rise to see the full answer
How do you approach data collection and analysis for peer review programs?

When approaching data collection and analysis, I establish clear metrics that align with our quality indicators. I often utilize electronic health records and other data management systems to gather comprehensive data. After analysis, I prepare presentations that effectively communicate findings to medical staff, ensuring everyone understands the implications and necessary actions.

Join Rise to see the full answer
What role do you believe peer review plays in improving patient care?

Peer review is crucial for improving patient care as it provides a structured approach to evaluating clinical practices, identifying areas for enhancement, and facilitating education among healthcare providers. Discuss how you believe peer review fosters accountability, supports evidence-based practices, and ultimately leads to better patient outcomes.

Join Rise to see the full answer
Describe a challenge you've faced in a previous role and how you overcame it.

When describing a challenge, focus on a specific situation relevant to the Peer Review RN Program Manager role. Share the context of the challenge, the steps you took to address it, and the positive outcome that resulted. This showcases your problem-solving abilities and determination.

Join Rise to see the full answer
How do you keep updated with current trends and regulations in healthcare?

I keep updated with current trends and regulations in healthcare through continuous education, attending workshops, subscribing to industry journals, and networking with other professionals. Participating in webinars and courses also allows me to stay informed about best practices pertinent to the Peer Review RN Program Manager role.

Join Rise to see the full answer
What is your experience with maintaining comprehensive provider files?

Discuss your experience with maintaining provider files by mentioning your organizational skills and attention to detail. Provide examples of how you have implemented best practices in file management and ensure that all documentation is current, accurate, and compliant with regulatory standards.

Join Rise to see the full answer
How would you deal with a peer review finding that indicates substandard performance?

Handling findings of substandard performance should be approached delicately but decisively. Emphasize your commitment to a constructive process, focusing on education and support rather than punitive measures. Discuss how you would engage with the provider to outline improvement plans, set clear goals, and ensure follow-ups to monitor progress.

Join Rise to see the full answer
Similar Jobs
Posted 3 days ago

Join the esteemed Arroyo Grande Community Hospital as a Registered Nurse II in Physical Rehabilitation, contributing to a top-notch healthcare environment.

Posted 3 days ago

Lead the outpatient clinical operations at Dignity Health Woodland Memorial Hospital as a Clinic Supervisor, positively impacting community health.

Photo of the Rise User

Join LifeStance Health as a Licensed Marriage and Family Therapist and contribute to a vision of integrated mental health care.

Photo of the Rise User

Join For Our Future as a Regional Organizing Director to spearhead community engagement and progressive advocacy in Lehigh County.

ummh Hybrid Marlborough, MA
Posted 7 days ago

Become a key player at UMass Memorial Health as an Executive Assistant, providing high-level support and contributing to our commitment to exceptional patient care.

Posted 10 days ago

Auberge Resorts Collection is looking for a diligent Housekeeping Room Attendant to maintain our guests' comfort and satisfaction at the White Barn Inn.

Photo of the Rise User

Join Family Health Centers of San Diego as an Internal Medicine Physician and make a significant impact on community health in La Mesa.

Posted 8 days ago

Lead innovative strategies in neurology as the Medical Director for Advanced Practice Providers at Sanofi.

Photo of the Rise User

Join Abercrombie & Fitch Co. as an Assistant Manager to lead sales, manage operations, and foster an inclusive environment.

Photo of the Rise User

Become a part of Northwestern Medicine's mission as a Coding Specialist II, specializing in anesthesia coding with a focus on delivering accurate medical records.

MATCH
Calculating your matching score...
DEPARTMENTS
SENIORITY LEVEL REQUIREMENT
TEAM SIZE
No info
HQ LOCATION
No info
EMPLOYMENT TYPE
Full-time, on-site
DATE POSTED
April 20, 2025

Subscribe to Rise newsletter

Risa star 🔮 Hi, I'm Risa! Your AI
Career Copilot
Want to see a list of jobs tailored to
you, just ask me below!
LATEST ACTIVITY
Photo of the Rise User
31 people applied to Virtual Doula at Included Health
H
Someone from OH, Akron just viewed Financial Content Writer at Huntington
W
Someone from OH, Columbus just viewed Director of Regulatory Compliance - WEX Bank at WEX Inc
E
Someone from OH, Cincinnati just viewed Administrative Assistant at Elevate and Delegate
Photo of the Rise User
Someone from OH, Akron just viewed Customer Support Representative at ProVia