Posted:
12/17/2024, 8:16:46 AM
Location(s):
Bend, Oregon, United States ⋅ Oregon, United States
Experience Level(s):
Junior
Field(s):
Medical, Clinical & Veterinary
Workplace Type:
Hybrid
ST. CHARLES HEALTH SYSTEM
JOB DESCRIPTION
TITLE: Practice Evaluation RN Specialist
REPORTS TO POSITION: Chief Safety and Quality Officer
DEPARTMENT: Quality Management
DATE LAST REVIEWED: January 8, 2020
OUR VISION: Creating America’s healthiest community, together
OUR MISSION: In the spirit of love and compassion, better health, better care, better value
OUR VALUES: Accountability, Caring and Teamwork
DEPARTMENTAL SUMMARY: The Quality Management Department provides essential services to St Charles Health System (SCHS) including: Quality Improvement support, Accreditation and licensing expertise, Auditing support, Data Abstraction, Data Analysis, Document Library management and support, and Patient Experience data and program management, and Ongoing Professional Practice Evaluation.
POSITION OVERVIEW: The Practice Evaluation RN Specialist at St. Charles Health System supports the health system by providing operational process oversight, clinical review, and data management for the regulatory requirements of Ongoing Professional Practice Evaluation (OPPE) used in the credentialing and peer review process. This position will support provider clinical practice - case review and evaluation of quality concerns related to OPPE. Methodology will include chart review, electronic health record (EHR) queries, data analytics, best practice standards, feedback to providers, professional communication, and improvement initiatives to support providers in high quality patient care and safety. This caregiver works closely with the Chief Quality & Safety Officer, Chief Medical Officers, Medical Staff Leaders, Patient Safety team, Medical Staff Services, and providers.
This position does not directly manage other caregivers.
ESSENTIAL FUNCTIONS AND DUTIES:
Oversees and performs clinical review, information flow, and clinical data reports for medical staff credentialing.
Identifies and coordinates flow of information, data analysis, and timely reporting for Ongoing Professional Practice (OPPE).
Fosters professional relationships with Medical Staff and hospital leadership to develop meaningful OPPE measures.
Fosters professional relationships with Medical Staff leaders and Committees to promote patient safety, education, and system improvements.
Works with medical staff leaders, hospital leadership, and support staff to identify improvement opportunities and processes, and plans for sustaining changes.
Supports SCHS with CMS and The Joint Commission standards compliance for OPPE, keeping accurate, complete and up-to-date records in cooperation with the Medical Staff Office.
Works closely with Information technology (IT), Clinical Informatics (CI), Decision Support and other data resources to continually increase and improve data availability and applicability for OPPE use.
Uses clinical knowledge and experience in review of EHR (Electronic Health Record). May develop templates and/ or provide guidance and assistance in medical record review related to performance improvement/ patient safety activities.
Supports the vision, mission, and values of the organization in all respects.
Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
Provides and maintains a safe environment for caregivers, patients and guests.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.
May perform additional duties of similar complexity within the organization, as required or assigned.
EDUCATION
Required: RN with MSN or similar advanced degree
Preferred: N/A
LICENSURE/CERTIFICATION/REGISTRATION
Required: Current RN licensure with the Oregon State Board of Nursing. Valid Oregon driver's license and ability to meet SCHS driving requirements. Ability to travel to business functions/trainings/meetings and all SCHS worksites required.
Preferred: Quality or Medical Staff Services related certification
EXPERIENCE
Required: Minimum of 5 years hospital experience, with strong medical or surgical background
Preferred: Quality Management and/or prior OPPE experience.
PERSONAL PROTECTIVE EQUIPMENT
Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
ADDITIONAL POSITION INFORMATION
Proven ability to work effectively with hospital and medical staff. Skilled in evaluating compliance with clinical care standards. Highly motivated and organized with the ability to work independently. Proficient working with computers and Microsoft Office applications. Skilled in reviewing electronic medical records.
Skills:
General:
Strong analytical, problem solving and decision making skills.
Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with high volume work load.
Ability to multi-task and work independently.
Attention to detail.
Ability to effectively interact with all levels within St. Charles Health System and external customers/clients/potential employees.
Demonstrated ability and experience in computer applications such as Word, Excel and databases.
Performs basic math (add, subtract, multiply and divide) calculations.
Read, write, speak and understand English.
PHYSICAL REQUIREMENTS:
Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level.
Frequently (50%): Sitting, lifting/carrying/pushing or pulling 1-25 pounds. The use and operation of a motor vehicle for Home Health and Wound Caregivers.
Occasionally (25%): Bending, stooping/kneeling/crouching, climbing ladder/step-stool (varies by area), reaching overhead, lifting/carrying/pushing or pulling 25-50 pounds, grasping/squeezing, ability to hear whispered speech level.
Rarely (10%): Climbing stairs.
Never (0%): Climbing ladder/step-stool (varies by area), operation of a motor vehicle.
Exposure to Elemental Factors
Rarely (10%): Wet/slippery area, chemical solution.
Never (0%): Heat, cold, noise, dust, vibration, uneven surface.
Blood-Borne Pathogen (BBP) Exposure Category
Risk for Exposure to BBP
Schedule Weekly Hours:
40Caregiver Type:
RegularShift:
Is Exempt Position?
YesJob Family:
NON CONTRACT RN SPECIALISTScheduled Days of the Week:
Shift Start & End Time:
Website: https://stcharleshealthcare.org/
Headquarter Location: Bend, Oregon, United States
Employee Count: 1001-5000
Year Founded: 2001
IPO Status: Private
Industries: Health Care ⋅ Medical ⋅ Non Profit