Professional Practice Evaluation Coordinator - Quality
Wellstar Health Systems

Job Info

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Facility: Cobb Hospital

The Quality Improvement Team at Cobb Hospital has an exciting opportunity for a Professional Practice Evaluation Coordinator

The Professional Practice Evaluation Coordinator is responsible for facilitating the medical staff Peer Review, Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) functions in accordance with The Joint Commission (TJC) Standards, CMS Conditions of Participation, WellStar Medical Staff Bylaws and Professional Practice Evaluation Policy.

• Analysis of events that require peer review and the examination of medical records as identified by clinical indicators or triggers is an integral part of this role.
  
• The Coordinator is responsible for managing and maintaining the confidentiality of the peer review process, quality records and performance improvement documentation to support the Professional Practice Evaluation Policy and Medical Staff Credentialing process.
  
• Prepares and maintains physician quality documentation, quality profiles as well as other assigned physician related performance improvement projects related to FPPE/OPPE.
  
• Supports the hospital Peer Review Committees and the hospital Vice President of Medical Affairs (VPMA).
  

Core Responsibilities and Essential Functions:

• Peer Review Operations
  
• Supports Focus Professional Practice Evaluation (FPPE), Privileging, and Credentialing Process
  
• Focus Professional Practice Evaluation
  
• Performance Improvement Plan (PIP)
  
• Facility Operations
  
• Ongoing Professional Practice Evaluation (OPPE) and Re-Credentialing Process
  
• Performs other duties as assigned
  
• Complies with all WellStar Health System policies, standards of work, and code of conduct.
  

Required Minimum Education:

• Bachelor's Degree
  
• Nursing or healthcare-related field is preferred
  

Required Minimum Experience:

• Minimum 4 years experience in healthcare, nursing or clinical practice
  
• Minimum 2 years of experience in peer review, risk prevention, or quality is preferred
  

Required Minimum Skills:

• Proven ability to analyze, interpret, and display data; strong attention to detail; meticulous accuracy and thoroughness.
  
• In depth knowledge of medical terminology. Strong organizational, analytical and problem-solving skills with the ability to work independently as well as with a team.
  
• Demonstrated excellence in interpersonal and written communication skills required.
  
• Must demonstrate the ability to accurately use a computer and standard office software such as Microsoft excel, word, access and power point. Knowledge and competency with data reporting systems.
  
• Aptitude in collaborating with teams that include key stakeholders and/or leadership to reach consensus.
  
• Ability to coordinate multiple tasks and flexibility to balance changing priorities.
  
• Ability to build relationships and foster communication among stakeholders in clinical and non-clinical settings.
  

Required Minimum License(s) and Certification(s):

• Cert Prof Healthcare Quality is preferred
  

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