Job Description
Position Summary: Required RN training + Physician Peer Review experience In the role of Medical Staff Peer Review Coordinator and Facility Enrollment, this individual is responsible for coordinating and facilitating the medical and allied health staff peer review process to ensure quality, safety, and adherence to regulatory standards. Manages and coordinates the FPPE (Focused Professional Practice Evaluation) and OPPE (Ongoing Professional Practice Evaluation) processes for both physician and advance practice professionals. This role involves organizing review activities, maintaining documentation, and supporting medical staff in continuous quality improvement efforts. This role facilitates the evaluation of practitioner competence, supports quality improvement initiatives, and maintains accurate documentation of professional practice assessments. In the role of Facility Enrollment Specialist, this individual is responsible for managing the enrollment processes for the hospital’s and facilities within the organization. This role ensures that all entities are properly enrolled with insurance payers, government programs and other relevant entities, allowing Adena Health to deliver services and receive reimbursement in a timely manner. Minimum Qualifications Required Educational Degree: Bachelor’s degree in healthcare administration, nursing, or related field Major/Area of Concentration: Preferred Education: Required Certifications, Credentials and Licenses: Preferred Certifications, Credentials and Licenses: Certified Peer Reviewer Required Experience: 5 years in acute hospital setting Preferred Experience: 2-3 years of Peer Review, Quality, Patient Safety and Facility Enrollment Job Specific Knowledge, Skills & Abilities Knowledge of medical staff processes, healthcare quality assurance, and regulatory standards. Strong organizational and communication skills. Ability to handle sensitive information with discretion. Experience with healthcare documentation and data
