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Vitruvian Health · 3 months ago

RN PI Analyst Cred - ReCred Surg - FT - Days (73319)

DALTON, GA, USA

Full-time

Hybrid

Entry, Mid Level

2+ years exp

Vitruvian Health is seeking a RN PI Analyst to support the Department of Surgery in various credentialing and performance improvement activities. The role involves monitoring clinical quality of care measures, conducting audits, and facilitating the peer review process for the medical staff.

Health CareHospitalityPersonal HealthPrimary and Urgent Care

Work & Life Balance

Responsibilities

Conducting various activities related to the Department of Surgery's Ongoing Professional Practice Evaluation, Focused Professional Practice Evaluation, and Initial - Appointment Focused Professional Practice Evaluation for Credentialing/ Re-credentialing

Performing monitoring activities, audits and investigations on a variety of issues for members of the medical staff and allied health professionals as outlined by the Professional Practice Evaluation Committee (PPEC) policy, including clinical quality of care measures and Core Measures issues

Providing information to the PPEC and to the Medical Staff Department Chair, Surgery Section Head and OB/GYN Section Head in regards to creating and monitoring performance improvement plans for the medical staff

Participating in identifying clinical process improvement opportunities creating and effecting this process improvement

Facilitating and implementing all aspects of the Surgical staff peer review process including medical record review of cases meeting established indicators, preparation of case summaries for physician review and follow-up as required

Communicating with consultants regarding requested or required external case reviews

Participating in weekly meeting with CMO to review any issues or concerns related to medical staff or findings from PEER Review

Responsible for development and revisions of department specific procedures for activities related to the peer review process

Responsible for implementation of Focused Professional Practice Evaluation (FPPE) process for practitioners with new privileges and/or new procedure privileges and maintains database of results

Maintaining databases of physician peer review credentialing/re-credentialing, and quality improvement activities through utilizing various software programs

Preparing a variety of reports utilizing statistical analysis as requested by the Department Director, VP/CMO, Medical Staff Department Chair and PPEC

Preparing monthly and quarterly summary reports of the Focused Professional Practice Evaluation process for the Credentials Committee, Medical Executive Committee and the Board

Responsible for compliance with related Joint Commission Standards, including monitoring of the Medical Staff for Improving Organization Performance

Working closely with the Director, VP/CMO, Medical Staff Services Coordinator, Clinical Abstractor, Clinical Data Coordinator, Quality Projects/Clinical Data Coordinator, and the Risk/ Patient Safety Coordinator

Qualification

Registered NursePerformance ImprovementCPHQ CertificationStatistical AnalysisData EntryEffective CommunicationTime ManagementTeam Facilitation

Required

Graduate of an accredited school of nursing

Registered Nurse with current licensure in State of Georgia required

Broad based clinical background with at least two years experience in an acute care setting

Ability to apply clinical knowledge to abstract pertinent information from medical record as needed for medical staff peer review performance improvement

Has the ability to present information in a clear and concise manner

Demonstrates ability to use departmental software for data entry and report generation

Communicates effectively with members of the medical staff and members of the healthcare team concerning issues of patient care, quality and system / processes

Ability to organize and facilitate investigations and teams as needed

Demonstrates the ability to manage time and meet deadlines