Registered Nurse (RN) - Performance Improvement Analyst -FT

Start the day excited to make a

difference…end the day knowing you did. Come join our team.

Job Summary :

This position is accountable for providing

accurate, efficient and cost effective coordination of clinical

review and performance improvement support services for the

performance improvement and professional / peer review programs

including ongoing and focused professional practice review for

medical staff and allied health providers credentialed through the

medical staff process. This position must demonstrate a commitment

of quality service to our patients, the public, and our co-workers.

Essential Functions & Responsibilities :

Performs data and individual case analysis in accordance with

established medical staff performance improvement / peer review

guidelines or for cases referred to Medical Support Services from

internal or external sources including, but not limited to, medical

staff, Hospital Administration, Risk Management, Patient Relations,

Quality Management, and Medical Staff / Hospital Committees.

Cases meeting criteria for physician level

review are referred in accordance with medical staff guidelines

with follow-up to assure timely completion of review and entry of

peer conclusion(s) in the medical staff performance improvement /

peer review database.

Performs analysis of

aggregate data to identify practitioner-specific or other trends

preparing narrative and / or graphic reports of findings.

Facilitates case presentations during

meetings serving as the case content expert regarding indications

for referral for peer review, case details, and patient care

delivery timeline.

Serves as a resource to

the medical staff on medical staff bylaws, policy and procedures

relevant to medical staff quality / peer review.

Maintains practitioner-specific performance

data and peer review files data in hard copy and / or electronic

formats.

In collaboration with Credentialing

Staff prepares practitioner-specific reports / profiles for the

biennial appointment / re-privileging process and / or focused

professional practice reports meeting with appropriate medical

staff leaders to assure data is interpreted appropriately.

Provides input to the Director, Medical

Support Services and Peer Review regarding opportunities to improve

the medical staff quality / peer review program.

Performs other duties as assigned.

Qualifications :

Minimum of five (5) years recent healthcare work experience in

following disciplines : Medical Staff Quality / Performance

Improvement / Peer Review, Utilization / Case Management, Quality

Management , or Risk Management.

Valid RN

License from Virginia or reciprocal compact state preferred and

will be considered in lieu of minimum experience.

• BSN preferred.

Quality

Management or Performance Improvement experience preferred.

Certified Professional Healthcare Quality

(CPHQ) preferred.

Ability to assess and

interpret clinical information. General working knowledge of ICD-10

coding preferred.

Working knowledge of Joint

Commission, CMS, licensure and other regulatory requirements

pertaining to peer review and quality management.

Requires basic computer skills including

mouse navigation, Internet skills, knowledge of basic office

software applications (MicroSoft preferred).

Prior work experience with MIDAS software and patient information

systems preferred.

Ability to work

autonomously with ability to prioritize and coordinate a variety of

activities simultaneously.

Requires

analytical skills and attention to detail.

Strong interpersonal skills with ability to communicate

effectively, both orally and in writing.

As an EOE / AA

employer, the organization will not discriminate in its employment

practices due to an applicant's race, color, religion, sex,

sexual orientation, gender identity, national origin, and veteran

or disability status.