Desert Regional Medical Center is a 385 bed acute-care hospital classified as a stroke receiving center and level 2 trauma facility with an innovative, patient centered and evidence-based Rehabilitation Services Department.
Our compassionate team provides a wide range of inpatient and outpatient services, including acute care rehabilitation, joint replacement & spinal surgery, neurosurgery, ICU, Telemetry, step-down care, skilled nursing, as well as outpatient therapy, hand and lymphedema clinics.

GENERAL DUTIES:

The Peer Review Coordinator will support the hospital�s medical staff peer review function in compliance with Joint Commission Standards, Title 22 for California, CMS Conditions of Participation and the Medical Staff Bylaws. The Peer Review Coordinator will manage the peer review process from acceptance of cases for peer review, facilitating first level screening if applicable, preparation of case review documents, and documentation of peer review results, production of reports and maintenance of the peer review database. This position will also support the Chief Quality Officer (CQO) and the organization through use of clinical expertise in review of concerns regarding quality of clinical care.

� Reports directly to the CQO.
� Conducts medical record reviews for first level screening and/or clinical review, in collaboration with other members of the Quality and Patient Safety Teams.
� Works directly with the Chair of the Medical Staff Peer Review Committee to assure the peer review process is functional and works to improve the quality of care provided by the medical staff.
� Works in conjunction with the Director of Medical Staff Services to meet the medical staff Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) policies.
� Works with the Quality Decision Support Analyst to produce OPPE reports for all medical staff members every 6-8 months.
� Collaborates with the Manager of Accreditation and Regulation to include evidence-based medicine outcomes through core measures in the peer review process.
� Is responsible to manage and appropriately document the peer review process from initial case review, review findings and outcomes
� Arranges and attends the Medical Staff Peer Review Committee meetings, facilitating the peer review process, documenting the peer review results, and referring cases as directed. Prepares committee minutes.
� Prepares the Medical Executive Committee Peer Review Report monthly.
� Facilitates peer review in the Quality Department through interaction with medical staff members, providing guidance and direction as needed. Develops and maintains professional relationships with medical staff leaders, members and hospital staff.
� Incorporates peer review from medical staff committees and departments into the peer review database to provide an accurate representation of the practice of medical staff members.
� Maintains knowledge of all standards and regulations involving medical staff peer review and assures compliance. Understands and complies with the peer review process as outlined in Medical Staff Bylaws.
� Incorporates information from eSRM reports, adverse events, and other sources into the peer review process.
� Conducts quality of care medical record reviews as requested.
� Ensures confidentiality with patient and physician information, PHI, and demonstrates understanding of HIPAA. Also understands and upholds protections of California Evidence Code 1157 and the federal Healthcare Quality Act.
� Answers the phones and responds to customer needs professionally and without complaints.
� Participates willingly in department meetings to enhance teamwork and efficiency with in the department.

� Willingly takes on additional assignments as needed within the department, including providing back up for other Quality Services staff as necessary.
� Reports to work on as scheduled on time, sufficiently rested to perform duties of the job.
� Takes initiative in keeping CQO fully informed on work related issues.

POSITION QUALIFICATIONS:

Required:
� Current CA RN license
� Minimum of 5 years� experience in acute hospital setting
� Bachelor�s degree in a health-related field
� Excellent interpersonal, communication skills
� Proficiency in Microsoft Office

Preferred:
� Experience in an acute hospital quality department
� Experience in a medical staff peer review process
� Experience with Access or similar data bases

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Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

Employment practices will not be influenced or affected by an applicant�s or employee�s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.