Fairview Health Services

Medical Staff Practitioner Evaluation Specialist

Job Locations US-MN-Maplewood
Requisition Post Information* : Posted Date 1 month ago(6/15/2021 5:34 PM)
Requisition ID
Non-Clinical Professional
St John's Hospital
Hours per 2 weeks
Medical Staff Services


The Medical Staff Practitioner Evaluation Specialist provides expert consultation, collaborative development and implementation of all practitioner peer

review activities. This includes supporting the medical staff practitioner evaluation activities through identifying and preparing cases for practitioner evaluation. This position promotes and maintains a systemic method to support Ongoing Professional Practice Evaluations and Focused Professional Practice Evaluations (OPPE/FPPE) at a system level to meet Joint Commission accreditation standards and provide a mechanism to provide practitioner performance feedback. Facilitates interdisciplinary collaboration to ensure OPPE and FPPE quality metrics are meaningful and appropriate for all service specialties.  Develops process improvement initiatives and maintains regulatory compliance.

Responsibilities/Job Description

Supports and facilitates the medical staff peer review process through identifying and preparing cases for review, which includes analyzing cases meeting peer review indicators or care concerns, and facilitation of peer review meetings


Coordinates review activities with medical staff leaders, written and oral communication with reviewers, management of highly sensitive information and other duties as directed by the VPMA and Director of Medical Staff Services.


Assists and provides direction for the development of medical staff clinical indicators with which to monitor and evaluate the quality of care and services rendered by practitioners.


Coordinates and facilitates external peer reviews as needed


Communicates Peer Review findings and determinations with provider(s) involved in the case(s) reviewed


Maintains documentation of findings and outcomes in the secure data reporting system


Ensures compliance with applicable regulatory guidelines and requirements, state and federal statutes, and medical bylaws, rules and policies.


Provides information and education on the peer review process to medical staff as necessary.


Identifies organizational process improvement opportunities using data and information gained through entity needs assessment process






  • Bachelor’s Degree or equivalent experience


  • 3-5 years of medical staff peer review or related experience





  • Bachelor’s degree in Nursing or Health Information Management


  • 5-10 years of medical staff peer review experience


  • RN or RHIA


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