Medical Review Coordinator Position Available In Phelps, Missouri

Phelps Health is a 2000-employee-strong hospital and healthcare system serving the heart of small-town Missouri. No matter where you start with us, we’re committed to taking our team to the top. If you’re ready for the challenge of providing life-saving care or supporting those who do, read on to find your fit in the Phelps Health family. General Summary The Medical Review Coordinator provides clinical, technical, and analytical data evaluation necessary to support quality improvement functions, peer review activities, and ongoing professional practice functions. This includes coordination with interdepartmental and/or interdisciplinary performance improvement teams in order to support Medical Staff and ensure regulatory and accreditation compliance. Essential Duties and Responsibilities Screens cases for appropriate referral to peer review. Utilizes critical thinking skills and medical knowledge to thoroughly review cases before referring for physician review. Reviews predetermined medical records to ensure quality standard compliance. Works closely with the Provider Excellence Committee Chair to communicate peer review inquiries, actions, and standards to providers within the organization. Coordinates, facilitates, compiles, and analyzes data, records, and reports for applicable Medical Staff/committees as related to peer review and quality improvement processes. Works with Medical Staff to organize, coordinate, and facilitate the peer review processes in accordance with the peer review policies, including Ongoing Professional Performance Evaluation (OPPE) and Focused Professional Performance Evaluation (FPPE). Coordinates and maintains the files and archives of all peer review related documents, including OPPE and FPPE files, per legal requirements. Fulfills subpoenas from the Board of Healing Acts as directed by hospital legal counsel. Coordinates and facilitates the Fair Hearing process. Functions as a resource/educator to Medical Staff as it relates to peer review activities, quality improvement processes, accreditation standards, Missouri Statutes, and CMS Conditions of Participation regulations. Maintains confidentiality of privileged information. Education Graduate of an accredited school of nursing required. Bachelor’s in Nursing preferred Work Experience Five years clinical nursing experience required. Demonstrated knowledge and advanced usage of current electronic medical record applications, analytical skills and good written/verbal communication skills, and ability to work independently and within time constraints. Certification/License Current RN license in the State of Missouri or compact licensure. Mental/Physical Requirements Considerable mental concentration for sustained periods of time with frequent interruptions. Light lifting (15 lbs.) required. Standing, sitting, walking, pushing required. Working Conditions Typical office conditions with noise and distractions. Possible eye strain or other discomfort from constant use of computer screens. At Phelps Health, we think we have a better team, benefits, and opportunities for growth than anyone else around, and we invite you to see for yourself! Apply now to join us on our mission in health care. Phelps Health serves over 200,000 residents in south-central Missouri. Phelps Health is county-owned, non-tax supported and is overseen by a five-member elected board. Phelps Health employs more than 1,900 people, including 100-plus providers. Phelps Health, which includes a hospital licensed for 240 patient beds, serves a six-county area, with its main campus and several clinics located in Rolla, Missouri. Phelps Health also has clinics in Salem, St. James, Vienna and Waynesville, Missouri.