Medical Staff Peer Review and Performance Improvement Specialist (Full-Time, 40, Day Shift)

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.

Equal Opportunity Employer / Disability / Vet Your Health. Our Legacy Our Mission: To fulfill the intent of Queen Emma and King Kamehameha IV to provide in perpetuity quality health care services to improve the well-being of Native Hawaiians and all of the people of Hawai‘i. Our Values: C ompassion guides our actions A loha inspires us in all that we do R espect and understanding are essential for the dignity of all E xcellence is our quest