Coordinator Peer Review (Registered Nurse)

The Peer Review Coordinator, in collaboration with Risk Management team and Medical Staff Services, coordinates and oversees clinical review processes of the peer review system, performs and/or assures clinical reviews are timely and effective, pre-reviews selected case referrals for peer review, assists with performance improvement activities, and otherwise supports clinical activities of the peer review procedures, committees, and chairs for the Health System.

Responsibilities

• Manages the Medical Staff Peer Review Process for the Health System by identifying records, review, and analysis of information obtained, summarizing findings, and coordination of provider review. 
• Maintains the integrity, confidentiality, and privilege of the safety event reporting system and Peer Review Professional Practice Evaluation Process.
• Conducts thorough research, interviews, and retrospective chart reviews on reported safety events and patient/family complaints with provider involvement contributing to the event and/or complaint as appropriate.
• Coordinates Peer Review meetings to include documentation and follow-up recommendations. Drafts and submits educational and informative decision letters to providers as required and oversees management of Peer Review files.
• Attends medical staff meetings to integrate medical staff into Performance Improvement Program and advise medical staff on policies and procedures as needed.
• Adheres to credentialing and peer review deadlines. Processes Peer Review issues in a timely manner.
• Assists in identifying and coordinating resolution of system process issues that may adversely affect the quality and safety of care being provided to patients. 
• Collaborates with the Risk Analyst on event management through use of the event reporting software, assigning event investigations to appropriate leadership for review and follow-up, ensuring follow-up is timely and complete. Closes the event submission upon completion. Follow up with team members and/or complainants when appropriate.
• Prepares Risk Reviews as directed.
• Other job duties pertaining to the functions of the Medical Staff Services Department and Risk Management Department.

Qualifications

• Graduate of a Diploma, Associate’s Degree or Bachelor’s Degree Nursing Program
• Current RN license to practice in the State of Georgia
• Knowledge of basic nursing theory and practice, medical terminology, and familiarity with Health System policies and procedures.
• Familiarity with hospital regulatory requirements. Possesses knowledge of Microsoft and Cerner applications.
• Possess excellent written, oral, and interpersonal communication skills; Strong analytical, problem solving, decision making, and organizational skills
• Able to establish and maintain effective rapport with members of the medical staff.
• Able to work in a high volume, complex environment while maintaining confidentiality
• Able to work independently and able to be a part of a collaborative team.
• Able to multi-task, create and present data as needed.