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.
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.
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.
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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!
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