I. JOB SUMMARY:
- Facilitates peer review and performance improvement activities (case review, professionalism review, practitioner health, OPPE reports) for the Medical Staff in accordance with the mission of The Queen’s Health Systems (QHS).
- Produces reports for the medical staff reappointment process.
- Facilitates activities of the Professional Practice Evaluation Committee (PPEC) and Leadership Council.
- Meets requirements of regulatory and accreditation agencies.
II. TYPICAL PHYSICAL DEMANDS:
A. ESSENTIAL FUNCTIONS:
- Seeing. Hearing. Speaking. Finger Dexterity.
B. MANUAL MATERIAL HANDLING:
- Infrequent: Lift waist to shoulder between 6-10 lbs. Carry between 6-10 lbs. Push and Pull between 6-10 lbs.
- Occasional: N/A
- Frequent: N/A
- Constant: N/A
C. NON-MANUAL MATERIAL HANDLING:
- Infrequent: Stoop/Bend. Kneel. Climb: Stairs/Ladder. Reach: shoulder level.
- Occasional: Stand. Walk.
- Frequent: N/A
- Constant: Sit.
III. TYPICAL WORKING CONDITIONS:
- Not substantially subjected to adverse environmental conditions.
- Work environment may be stressful due to workload.
IV. MINIMUM QUALIFICATIONS:
A. EDUCATION:
- Bachelor's degree required, preferably in a health care related field; or four (4) years of progressive experience in healthcare may be substituted for the educational requirement.
B. CERTIFICATION AND LICENSURE:
- No certification and/or licensure requirement.
C. EXPERIENCE:
- In addition to the educational requirement, one (1) year of medical staff peer review and performance improvement experience in a healthcare facility; or two (2) years of clinical experience.
- Knowledge of regulatory and licensing agency standards, medical staff bylaws, and rules/regulations. Ability to interpret and apply guidelines and procedures.
- Knowledge and skill in data collection, data entry, data analysis, data presentation and reporting.
- Skill in establishing and maintaining effective working relationships with staff, physicians, consultants, hospital committees, administrators, and staff.
- Ability to communicate effectively both orally and in writing with all levels throughout the organization.
- Proficiency with Microsoft office applications, i.e. Word, Excel, Outlook, etc.
- Prior experience in medical staff credentialing/reappointment preferred.
