Peer Review RN

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.

Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.

Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.

We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.

This job is responsible for performing professional work in support of medical staff/peer review processes for individuals granted clinical privileges in the assigned CHI Franciscan (CHI-F) facility, specifically in regard to Ongoing Professional Practice Evaluations (OPPE) and Focused Professional Practice Evaluations (FPPE). Peer review is instrumental in identifying, tracking and resolving clinical performance and/or unprofessional conduct issues in a manner that promotes education, improvement and patient safety.

Work includes data collection, analysis, and reporting for presentation to the Multi-Specialty Peer Review Committee and Section Committees and to support ongoing OPPE and FPPE decision-making processes designed to facilitate high quality and safe patient care. An incumbent identifies opportunities for provider improvement and works with individual providers and teams to facilitate improvement in individual performance and clinical documentation, and to enhance quality of care initiatives designed to ensure compliance with hospital policy, evidence-based patient care standards and applicable regulatory requirements and promote systemic improvements.

Work requires knowledge of peer review systems, standards, processes and regulatory requirements as well as effective methodologies for screening performance against established quality indicators and preparing timely and effective case studies for presentation to medical staff committees. Also requires proficiency in data collection, analysis, interpretation and presentation to high-level audiences and physician groups. An incumbent is responsible for keeping abreast of current/changing regulatory requirements with potential to impact documentation practices and related training.

Education/Work Experience Requirements:

• Bachelor’s degree in healthcare administration, nursing or other related discipline, graduation from an accredited school of nursing, and four years of related work experience that would demonstrate attainment of the requisite job knowledge/abilities.

Licensure/Certification:

• Current licensure as a Registered Nurse by the Washington State Nursing Commission.