Senior Performance Improvement Program Coordinator
Senior Performance Improvement Program Coordinator
Posted on :
08-06-2025
Employer Active
1 Vacancy
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Monthly Salary
Not Disclosed
Salary Not Disclosed
Vacancy
1 Vacancy
Posted on :
08-06-2025
Job Description
Overview
This Medical Staff Senior Performance Improvement Program Coordinator utilizes clinical accreditation standards and quality improvement expertise to manage and coordinate the development and standardization of the medical staff performance evaluation program supporting reappointment advancement and clinical quality in compliance with regulatory requirements for provider performance profiles and peer review processes. The Senior Performance Improvement Program Coordinator acts as an integral consultant to enhance performance and quality of providers at Northern Arizona Healthcare.
The position collaborates with the Director Medical Staff Services to promote medical staff performance improvement and standardize work processes within the Medical Staff Services department and orchestrates team efforts to ensure that Performance Improvement Coordinator and Clinical Analyst meet deadlines and expectations. Position includes direct oversight of limited Director duties in Directors absence.
The position collaborates with the Director Medical Staff Services to promote medical staff performance improvement and standardize work processes within the Medical Staff Services department and orchestrates team efforts to ensure that Performance Improvement Coordinator and Clinical Analyst meet deadlines and expectations. Position includes direct oversight of limited Director duties in Directors absence.
Responsibilities
Data Integrity
* Implementation and responsibility for the development and management of Medical Staff Peer Review programs and oversight of all Medical Staff Performance Programs including FPPE and OPPE processes.
* Provides comprehensive medical record review of referrals for analysis of standard of care.
* Works directly with the Medical Staff Peer Review committees at Northern Arizona Healthcare in reporting reviewing and follow-up of cases sent to committee for review assuring peer review process is functional and improves the quality of care by the medical staff.
* Identifies trends in provider behavior and quality of care.
* Oversight of Medical Staff peer review meetings including preparation minutes and follow-up.
* Ensures data integrity collection validation trending and reporting to MEC as required.
* Provides comprehensive medical record review of referrals for analysis of standard of care.
* Works directly with the Medical Staff Peer Review committees at Northern Arizona Healthcare in reporting reviewing and follow-up of cases sent to committee for review assuring peer review process is functional and improves the quality of care by the medical staff.
* Identifies trends in provider behavior and quality of care.
* Oversight of Medical Staff peer review meetings including preparation minutes and follow-up.
* Ensures data integrity collection validation trending and reporting to MEC as required.
People Management/ Staff Development
* Coordinate with the Medical Staff Performance Improvement Coordinator & Clinical Analyst to support the effectiveness of the NAH Medical Staff Performance Program.
* Maintains knowledge of all standards and regulations involving medical staff performance data and peer review. *
* Create learning opportunities that advance Medical Staff Leadership and Medical Staff Services team.
* Maintains knowledge of all standards and regulations involving medical staff performance data and peer review. *
* Create learning opportunities that advance Medical Staff Leadership and Medical Staff Services team.
Performance Management
* Works closely with Medical Staff leadership and Performance Improvement Coordinator and Clinical Analyst to ensure effectiveness of Performance Improvement Program
* Ensures effective roles and processes are developed within the department to support the Performance Improvement Program.
* Assists with limited Director duties in Directors absence.
* Ensures effective roles and processes are developed within the department to support the Performance Improvement Program.
* Assists with limited Director duties in Directors absence.
Department Management
* Responsible for searching external databases and web sites to keep current on all data benchmarks and using data abstraction tools to produce meaningful analyses and correlation of data.
* Maintains proficiency in the use of MDStaff MIDAS MDStat Stat-it and other databases as necessary.
* Maintains proficiency in the use of MDStaff MIDAS MDStat Stat-it and other databases as necessary.
Compliance/Safety
* Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.
* Stays current and complies with state and federal regulations/statutes and company policies that impact the employees area of responsibility.
* Completes all company mandatory modules and required job-specific training in the specified time frame.
* Stays current and complies with state and federal regulations/statutes and company policies that impact the employees area of responsibility.
* Completes all company mandatory modules and required job-specific training in the specified time frame.
Qualifications
Bachelors Degree- Required
Masters Degree- Preferred
Masters Degree- Preferred
Current RN license in the state of Arizona- Required
Lean Six Sigma (or equivalent process improvement) certification- Preferred
Lean Six Sigma (or equivalent process improvement) certification- Preferred
Minimum 1 year performance improvement experience- Required
Five years clinical experience in acute hospital setting- Required
Prior experience managing or leading staff and teams- Required
Knowledgeable regarding regulatory and accreditation requirements CMS at minimum- Required; TJC- Preferred
Experience with Cerner Midas MDStaff- Preferred
Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers and competence in using computers and basic software programs.
Five years clinical experience in acute hospital setting- Required
Prior experience managing or leading staff and teams- Required
Knowledgeable regarding regulatory and accreditation requirements CMS at minimum- Required; TJC- Preferred
Experience with Cerner Midas MDStaff- Preferred
Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers and competence in using computers and basic software programs.
Remote Work States
NAH reserves the right to make hiring decisions based on applicants state of residence if outside the state of Arizona. NAH currently hires for remote positions in the following states:
- Alabama
- Arizona
- Florida
- Georgia
- Idaho
- Indiana
- Kansas
- Michigan
- North Carolina
- Ohio
- Oklahoma
- Pennsylvania
- South Carolina
- Tennessee
- Texas
- Virginia
Required Experience:
Senior IC
Employment Type
Unclear
Key Skills
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