Job Description

When you come to the University of Maryland St. Joseph Medical Center, you’re coming to more than simply a beautiful 37-acre, 218-bed suburban Baltimore, Maryland campus. You’re embarking on a professional journey that encourages opportunities, values a team atmosphere, and makes convenience and flexibility a priority. Joining our team of healthcare professionals means you’ll be contributing to a locally and nationally recognized institution. UM St. Joseph has been recognized by The Leapfrog Group as a grade ‘A’ hospital and by U.S. News & World Report as #3 in both the state and Baltimore Metro area, making UM St. Joseph the highest-ranking community hospital in Maryland. In addition, we’ve been consistently recognized as a top employer by Baltimore magazine. 

Job Description

1. Coordinates the Medical Staff peer review process for defined departments in collaboration with the Medical Director of Peer Review.
2. Applies clinical knowledge to screening criteria to identify cases meeting criteria and those requiring further analysis through assessment of information from various data systems.
3. Reviews referred cases in a systematic and timely manner and communicates with appropriate peer review chairman and / or department chief to ensure that appropriate peer review actions are taken.
4. Formulates case summaries and review questions for providers performing peer review.
5. Prepares case summaries and attends MultiSpecialty Peer Review Committee and departmental ad hoc peer review committee meetings. Serves as a liaison between committees to facilitate communication and referral of cases. 
6. Facilitates systematic review of departmental screening criteria to ensure that the approach to peer review is relevant and consistent.
7. Provides first level screening for the semiannual review of Ongoing Professional Practice Evaluation (OPPE).
8. Assists department chiefs with Focused Professional Practice Evaluation (FPPE) for new privileges and for those FPPE reviews related to professional practice.
9. Enters peer review data in appropriate databases in a timely and accurate manner.
10. Prepares accurate and timely peer review meeting minutes.
11. Maintains knowledge of Centers for Medicare and Medicaid Services (CMS) and The Joint Commission (TJC) standards, medical staff bylaws and hospital policies as they pertain to the job role.
12. Provides information and education on the peer review process to medical and hospital staff as necessary.
13. Performs other related duties and participates in special projects as assigned.

Organizational Expectations:

• Adheres to and exhibits our core values: Reverence: Having a profound spirit of awe and respect for all creation, shaping relationships to self, to one another and to God and acknowledging that we hold in trust all that has been given to us. Integrity: Moral wholeness, soundness, uprightness, honesty and sincerity as a basis of trustworthiness. Compassion: Feeling with others, being one with others in their sorrows and joys, rooted in the sense of solidarity as members of the human community. Excellence: Outstanding achievement, merit, virtue; continually surpassing standards to achieve/maintain quality.
• Compliance: Identifies potential areas of compliance vulnerability and risk; understands regulatory requirements with regard to compliance that apply to organizational operations and how these apply to the individual’s role in the department; appropriately reports compliance concerns via the appropriate channels.
• Maintains current knowledge in present areas of responsibility.
• Works collaboratively and supports efforts of team members. Demonstrates exceptional customer service and interacts effectively with providers, staff, visitors and the broader health community.

Qualifications

​​​​​​​ Experience and Skills :

• 1 year experience in Quality Improvement or related field (Required)
• 5 years nursing experience (Required)
• Strong verbal and written communication skills
• Demonstrated proficiency in Microsoft Word, Excel, Epic and basic computer skills
• Able to review, analyze and summarize medical records across all specialties
• Able to work collaboratively with physicians and other healthcare professionals

• Associate Degree in Nursing (Required)
• Bachelor Degree in Nursing (Preferred)
• Maryland State Registered Nursing License (Required)
• 1 year experience in Quality Improvement or related field (Required)
• 5 years nursing experience (Required)

Additional Information

All your information will be kept confidential according to EEO guidelines.

  Compensation

• Pay Range: $36.83-$55.29
• Other Compensation (if applicable):

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