Minimum Qualifications:

• Graduate of an accredited RN program

• Demonstrates effective written and oral communications skills

• Considerable knowledge of advanced clinical practices

Licensure/Certification/Registration:

• Current Alabama RN licensure

Desired Qualifications:

• Masters degree in Nursing or Health Administration
• Working knowledge of quality assurance, utilization review or risk management
• CPHQ

Serves as an expert resource providing advanced practice, theories, and techniques gained through education, training, and experience to maximize quality patient/service outcomes.

Under general supervision, coordinates the peer review activities for the medical staff department. Peer Review is designed to assess and monitor the performance of the medical staff privileges at Mobile Infirmary and use the outcomes of the assessments to improve patient care.

The qualified candidate will be responsible for carrying out the following duties:
. Promotes proper oversight of focused and ongoing peer review with appropriate department leaders.
· Coordinates department-specific peer review activities with clinical departments in a timely and effective manner, from the identification of cases to be reviewed through the necessary actions and follow-up with specific providers.
· Actively screens cases in preparation for or in lieu of review by a peer review physician, when appropriate.
· Coordinates confidential peer review activities with the Professional Practice Evaluation Committee (PPEC),  Credentialing Committee, Quality Management, Risk Management, Patient Safety and other departments, as needed.
· Maintains current electronic database and paper documentation of peer review activities.
· Maintains professional knowledge of peer review requirements from external agencies, along with best practices for peer review, and introduces and supports this information within Mobile Infirmary. Assists in external agency reviews as needed.
· Identifies information needs, develops reports, and analyzes information for leaders. Provides recommendations and/or communicates to appropriate leaders, teams and committees.
· Assists in development and implementation of policies and procedures.
· Fosters professional relationships with Department Chairs and Peer Review Physicians to promote peer review activities.