Adventist Health and Rideout has served the Yuba-Sutter region with exceptional healthcare since 1907.
Since joining Adventist Health in 2018, the nonprofit hospital has continued to grow its services and improve quality and patient experience, all part of our vision of transforming the health of our community.
The award-winning hospital is a 221-bed acute care facility that includes an expanded Level III emergency department, a Level III trauma center and STEMI-receiving center and provides the following care services: cancer care, heart and vascular, stroke, inpatient and outpatient surgery, orthopedics and labor and delivery, including a NICU unit.
Outpatient services include over a dozen specialties and we offer senior living services.
Adventist Health and Rideout serves the community with 365 physicians, 2,745 associates and contractors, including 849 nurses.
Job Summary:
Implements plans, identifies goals, activities, and educational opportunities within the Peer Review Process.
Interfaces with the Medical Staff and other members of the Interdisciplinary Team to support performance improvement activities, collaborates on case review agenda items for case review activities, assists with potential studies, indicators and when questionable clinical findings are identified.
Recognized technical subject matter expert in own and possibly related discipline(s).
Has substantial understanding of techniques, processes, procedures to perform the job and seeks to complete tasks in creative and effective ways.
Runs program(s) with moderate budget/impact.
Job Requirements:
Education and Work Experience:
Bachelor's Degree in Nursing (BSN): Preferred
Licenses/Certifications:
Registered Nurse (RN) licensure in the state of practice: Required
Essential Functions:
Assists in the design and modification of Peer Review monitors, focus studies, and other Quality Improvement activities with special emphasis on data sources, data collection tools, data input, data acquisition, analysis, and presentation format.
Collaborates with the Medical Staff Coordinator in preparing Case Review agendas, notification letters to attributing physicians to attend Case Review meeting discussions or correspondence regarding closure status of their cases, and ensures accuracy of all minutes pertaining to case review.
Establishes and maintains policies & procedures and processes for identifying and tracking the clinical performance and/or unprofessional conduct issues that warrant peer review.
Verifies conformity of recommendation to case review findings and may assist in the assigning process of reviews to appropriate reviewers.
Coordinates and facilitates case reviews at the Multidisciplinary Case Review and Perinatal Case Review Committees.
Supports and coordinates Peer Review activities to ensure all peer review activity is appropriately documented and recorded for use in the Quality Assessment Performance Improvement program.
Coordinates the activities of the medical staff to ensure the relevant findings, conclusions and recommendations resulting from the Peer Review System are reported as required.
Supports Risk Management program by researching all peer review cases referred to Risk Management Program through the occurrence review process.
Designs, conducts, and evaluates studies and problem focused reviews requested by the leadership executives, medical staff, risk manager or department director.
Assists in the preparation of the reports and may develop and conduct presentations on the peer review quality improvement standards to insure compliance with regulatory agency standards.
Identifies educational opportunities and issues which require follow-up from chart review.
Collaborates in hospital Risk Management program by researching all peer review cases referred to quality management (QM) through the occurrence review process.
Collaborates with decision support to prepare the list of patients who meet the CHART criteria.
Collaborates with department managers and other supervisory personnel in the solving of problems and addressing issues of concerns identified.
Collaborates with the Infection Preventions by sharing potential opportunities for improvement regarding documentation of central line and ventilator care.
Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients.
Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc.
, as a condition of employment, and annually thereafter.
Medical and religious exemptions may apply.
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