Clinical Abstractor

Overview

The Peer Review Specialist provides leadership and coordination for the provider peer review processes across the facilities and service areas within Mount Carmel Health System and affiliate joint venture businesses as assigned.

Responsibilities

• Exhibits each of the Mount Carmel Service Excellence Behavior Standards holding self and others accountable and role modeling excellence for all to see. For example : demonstrates friendliness and courtesy, effective communication creates a professional environment and provides first class service.
• Meets population specific and all other competencies according to department requirements.
• Promotes a Culture of Safety by adhering to policy, procedures and plans that are in place to prevent workplace injury, violence or adverse outcome to associates and patients.
• Relationship-based Care : Creates a caring and healing environment that keeps the patient and family at the center of care throughout their experience at Mount Carmel following the principles of our interdisciplinary care delivery system.
• Provides nursing care, ensures an environment of patient safety, promotes evidence-based practice and quality initiatives and exhibits professionalism in nursing practice within the model of the ANCC Magnet Recognition Program. (For patient care providers)
• Supports Clinical Performance Improvement Activities
• Maintains knowledge of clinical indicators and compliance requirements
• Provides concurrent medical record review for assigned clinical indicator documentation
• Provides regular feedback to clinical staff, managers and educators
• Receives verbal and / or places orders as required in support of quality measure compliance
• Identifies learning needs related to national hospital quality measures and provides individual education. Refers to professional practice educators as indicated
• Provides support for the development of improvement strategies, researches, communicates and incorporates best practice
• Manages Outcomes Data
• Maintains expertise in clinical documentation systems
• Serves as an internal consultant to clinical departments in documentation requirements
• Manages assigned clinical databases to assure nationally accepted definitions are being adhered to, and that comparative data are accurate, complete and current
• Manages systems and processes for reporting to staff, managers, and other leadership
• Manages daily exception reporting process, including follow-up with clinical staff and adherence to escalation policies
• Supports Quality / Care Management Division-wide Goals and Initiatives
• Assists with surveys of the hospital performed by Joint Commission, CMS and other regulatory agencies
• Participates on hospital committees as assigned
• Performs other duties as assigned by the Director

Requirements / Qualifications

Discovering opportunities, support and excellence – all while making a real difference in patients' lives – begins at Mount Carmel. Find a new beginning and advance your career with us.

Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, sexual orientation or physical ability.

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.

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