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Job Summary The purpose of the Peer Review Coordinator position is to ensure quality patient care by effectively managing the Medical Staffs Peer Review Program, which encompasses the ongoing and focused professional performance review processes, the clinical care case referral/disposition processes, and the professional conduct case referral/disposition processes. Due to multiple Medical Staffs and facilities, this Coordinator must establish many effective relationships, work within multiple organizational structures and cultures, manage various systems/policies, and move between facilities with ease. They manage multiple Medical Staffs in the functioning for analyzing practitioner-specific patient care data (case referrals, medication safety, mortality review, length of stays, occurrences, complaints, etc.). Ensures the Medical Staffs education and knowledge in methodologies of data management and interpretation, for the purpose of improving patient care. This position administers a regulatory-compliant, effective and efficient peer review program, from data gathering through facilitating the Medical Staffs governance systems in the area of peer review. These functions involve support to and communications with numerous hospital departments, executive administration, and the governing board, pursuant to the requirements set forth in Medical Staff Bylaws and Federal/State laws. The Peer Review Coordinator must direct, educate and motivate physician leaders to accomplish their assigned tasks either with matters of significance to department business or in support of the credentialing program. The position is also responsible for the integration of services between the MSSD, IT and Quality Departments with regards to the peer review program.
What You Bring/Job Requirements
In addition to bringing your whole self to the workplace each day, qualified candidates will need the following:
Minimum Experience Requirements Current knowledge of and successful application of risk management and regulatory agency requirements/standards. Experience with electronic medical record systems and knowledge of clinical/medical terminology and concepts Previous data management and analysis experience, preferred Effective organizational and personal communication skills including written, verbal, attitudinal and persuasion skills. Functions independently with initiative, creativity, effective analytical problem solving, and exercises sound discretion.
Bachelors degree in healthcare related field strongly preferred; in lieu of bachelors degree 2 years experience in healthcare related field required.
Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS), preferred.
Your Connected Community
When people and places align, incredible things happen. Just like the 21,000+ amazing associates who work here, every community within Centura Healths connected ecosystem has its own unique history, story and personality.
St. Anthony North Health Campus
Located in Westminster, Colorado, the St. Anthony North Health Campus offers inpatient and outpatient care with an emphasis on preventive health, wellness and health education for the flourishing communities of the Denver Metro North area. As the centerpiece of Centura Healths health neighborhood approach were proud to offer integrated primary and specialty physician clinics, a Level III trauma center, a womens center with labor/delivery suites, 100-inpatient beds and an outpatient diagnostic center with lab and imaging services.
Find your ideal career at Centura Health! With 16 hospitals, physician clinics, hospice services, home care and senior living communities, Centura Health's vast network of care spans Colorado and Western Kansas so you can experience a balanced lifestyle and enjoy a fulfilling career anywhere you want to work, live and play in Colorado. From the fast pace of a Denver-area Level 1 Trauma Center to a smaller rural or mountain hospital – we proudly offer a more diverse range of work settings and locations than any other health care employer in the state. Centura is an equal opportunity employer.