RN, Professional Practice Evaluation Specialist, Risk Management - Days

Job Description

Job ID: 1183227
Employment Status: Full-Time
Regular/Temporary: Regular

Your Career. Made Better.

Boone Hospital Center is a 394-bed full service hospital located in Columbia, MO. It is a regional referral center located in the center of the state. The hospital provides progressive healthcare programs, services, and technology to people in 26 mid-Missouri counties. Although the hospital is full service, areas in which Boone Hospital Center excels are cardiology, neurology, oncology, surgical, obstetrical services, and numerous other specialties. The hospital maintains a 24-hour emergency center with hospital-based ambulance service and a helipad for incoming emergency air transportation.  Recognizing its excellence in nursing care, Boone Hospital Center has been certified as a "Magnet Hospital" by the American Nurses Credentialing Center.
 

The Boone Hospital Center's (BHC), Quality/Risk Management/Medical Staff Services department provides leadership and strategic direction for all aspects of Risk Management and Medical Staff Services.  The Quality department manages key processes and assists the organization in maintaining compliance with regulatory and accrediting bodies. The Risk Management department works to proactively enhance the safety of patients, visitors and employees; and minimize financial loss to the hospital through risk detection, evaluation and prevention.  The Medical Staff Services provides oversight for credentialing and privileging processes and procedures, and assisting the Medical Staff Leadership in the development and adherence to Medical Staff Bylaws, and Rules and Regulations including (peer review process) Ongoing Professional Practice Evaluation (OPPE) and Professional Practice Evaluation (PPE).


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Role Purpose

Plans, organizes and coordinates professional practice evaluation activities (peer review) for the medical staff and other practitioners as outlined in the Professional Practice Evaluation Policy and the Medical Staff Bylaws, Rules and Regulations. Facilities the medical-administrative aspects of the credentialing and privileging component and the governance structure to establish, contribute and maintain continuity in standards/regulations compliance as they relate to the requirements of the Medical Staff. Serves as an essential link between senior management and the medical Staff to promote and enhance good communications and a positive working relationship.


Responsibilities

  • Monitors provider files for accuracy and prepares reports relative to the professional practice evaluation processes.
  • Orients providers relative to the professional practice evaluation processes to ensure conformance to policy and according to timeframes.
  • Abstracts, gathers, aggregates, tracks, and trends ongoing professional practitioner data and provides to medical staff leaders, Clinical Specialty Reviewers and Professional Practice Evaluation Committee, as defined by policy. Puts data into a format that is understood and usable by end users. Notifies the appropriate medical staff leaders when thresholds are reached, identifying and suggesting the need for focused professional practice evaluation as needed.
  • Assists the medical staff in identifying rate and rule based indicators that are relevant to high risk, high volume and problem prone issues and patient care processes.

  • Minimum Requirements

     

    Degree

  • Bachelor's Degree
  • - Nursing

     

    Experience

  • 2-5 years
  •  

    Supervisor Experience

  • No Experience
  •  

    Licenses & Certifications

  • RN

  •  

    Preferred Requirements and Additional Job Information

     

    Licenses & Certifications

  • CMSC
  • CPCS
  •  

    Clinical - Direct Skills

  • Acute Care - 5 years or more
  •  

    Service Support Skills

  • Customer Service - 3 years or more
  •  

    Information System Skills

  • Clinical Systems - 5 years or more
  •  

    Professional - Non Clinical Skills

  • Process Evaluation - 1 year or more

  • Benefits Statement

    Note: not all benefits apply to all openings

    -  Comprehensive medical, dental, life insurance, and disability plan options
    -  Pension Plan*/403(b) Plan
    -  401(k) plan
    -  Tuition Assistance
    -  Health Care and Dependent Care Reimbursement Accounts
    -  On-Site Fitness Center (depending on location)
    -  Paid Time Off Program for vacation, holiday and sick time

    *Pension does not apply to Memorial Hospital, Memorial Hospital East, Memorial Medical Group, Alton Memorial or Parkland Health Center


    Legal Statement

    The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.

     

    Equal Opportunity Employer