Evaluates the quality of health care rendered by the System for the purpose of Peer Review pursuant to 63 P.S. §425.1 et seq. and/or the Mcare Act, as directed by, and as a member of the Medical Performance Improvement Committee, and the System's Performance Improvement Department, both of which are Peer Review Subcommittees of the Geisinger Health System, by evaluating the quality of services ordered or performed by the System's professional health care providers including practice analysis, inpatient hospital and extended care facility utilization reviews, medical audits, ambulatory care reviews, claims reviews, and the compliance of GMC, GWV and any other health care facilities within the System, including Geisinger Clinic and Marworth, which are operated by System health care providers with the standards set by associations of health care providers and with applicable laws, rules and regulations.
Responsible for coordinating and implementing the Performance Improvement goals and objectives, specifically those related to customer service, patient satisfaction and clinical risk management.
Performs all duties in a manner that promotes teamwork and reflects the goal of providing patient-centered care.
Performs duties to support the goals and objectives of the Geisinger Health System in its efforts to provide quality patient care, patient safety and patient satisfaction.
Reports to the Director, Patient Liaison and Interpretive Services, Division of Patient Experience
COMPETENCIES AND SKILLS:
Demonstrates a high level of customer service skills/interpersonal interactions; ability to handle difficult and angry people constructively; savvy enough to interact with physician and senior leadership.
Demonstrates effective mediation and conflict resolution skills, to address awkward situations with tact and diplomacy.
Demonstrates the ability to work with minimal supervision.
Demonstrates computer skills-able to perform basic personal computer functions.
Demonstrates strong written and oral communication skills.
Must be a team player and have proven success in applying a team approach to obtain resolution to an issue or successfully accomplish a goal.
Demonstrates critical thinking and analytical skills, including analysis, planning, organizing and troubleshooting
EDUCATION AND/OR EXPERIENCE:
Current Registered Nurse licensure required.
Bachelor's degree in Nursing (BSN) required.
A minimum of three to five years of relevant clinical and/or health care related experience required.
WORKING CONDITIONS/PHYSICAL DEMANDS:
Work is typically performed in a heath care setting- office or hospital environment.
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
GEISINGER-LEWISTOWN HOSPITAL: is a 123-bed acute care community hospital serving the 80,000 residents of Mifflin and Juniata counties and members of the contiguous counties of Centre, Perry, Snyder, and Huntingdon. Established in 1905, the hospital provides inpatient, outpatient, wellness and community services while employing over 1,000 full-time and part-time employees and providing a Medical Staff consisting of more than 150 physicians and allied health practitioners representing specialties ranging from family medicine, internal medicine, and cardiology to infectious disease and general/cardiovascular surgery.
ABOUT GEISINGER: Geisinger is a physician-led health system comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan Geisinger is nationally recognized for innovative practices and quality care. Geisinger serves more than 3 million people in central, south-central and northeast Pennsylvania and also in southern New Jersey with the addition of National Malcolm Baldridge Award recipient AtlantiCare, A member of Geisinger. In 2017, the Geisinger Commonwealth School of Medicine became the newest member of the Geisinger Family.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.* Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter.
** Does not qualify for J-1 waiver. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
*Domestic partner benefits not applicable at Geisinger Holy Spirit.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh Food
Farmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencing
programs, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.
Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers.
What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.