Medical Staff Quality Coordinator -Daya
VCU HealthAbout the role
Monday - Friday Days
Essential Job Statements
Collects and analyzes data from medical records, patient complaints and grievances, and other sources to collect data for review and trending to meet requirements for provider OPPE and FPPE processes.
Facilitates peer review activities including case review and performance evaluation of providers.
Prepares for medical staff meetings, including scheduling, agenda preparation, and recording minutes
Maintain confidential credential and peer review files on all medical staff members.
Maintains medical staff quality files and participates in the regulatory review activities related to medical staff requirements.
Collaborates with medical staff and Quality to identify, develop, and track and trend provider KPI’s to meet regulatory and quality requirements.
Supports the collection of medical staff quality data for provider compensation payment.
Participates in the work of serious safety event investigation and action planning.
Provides on-boarding education to medical staff related to electronic peer review module use and peer review participation requirements.
Coordinates with medical staff credentialing to plan and implement on-boarding activities and assure timely completion of the FPPE/OPPE processes. Ensure compliance with state and federal regulations, accreditation requirements, and hospital policies
Plans, designs, implements, and maintains a comprehensive continuous quality improvement (CQI) program.
Assists in educating new staff, including physicians, about quality improvement systems and requirements
Collaborates with medical staff leadership to develop and implement quality improvement plans aligned with organizational goals and regulatory requirements.
Facilitates the development of quality improvement projects across different medical specialties.
Performs other duties as assigned and/or participates in special projects to support the mission of VCUHS and the department. Provides assistance to team members. Accepts alternate assignments, as required.
Patient Population
Not applicable to this position.
Employment Qualifications
Required Education:
Bachelor’s degree in healthcare administration, nursing, or related field.
Combination of education and experience may be considered in lieu of a degree.
Preferred Education:
Licensure/Certification Required:
Certification in Professional Medical Services Management (CPMSM) within 5 years of accepting position.
Licensure/Certification Preferred:
Project Management certification.
Minimum Qualifications
Years and Type of Required Experience
Two (2) years’ experience in an acute medical setting working with education, peer review, and/or quality improvement.
Other Knowledge, Skills and Abilities Required:
Strong communication and interpersonal skills to collaborate with diverse medical staff.
Strong organizational skills.
Proficiency in data management and reporting tools.
Clinical knowledge and understanding of medical practice is preferred.
Experience in, or willingness to learn, quality improvement methodologies and data analysis.
Proficiency in use of Microsoft office programs including Excel, Word, PowerPoint.
Knowledge of healthcare regulations and accreditation standards related to competencies and certification.
Cultural Responsiveness
Other Knowledge, Skills and Abilities Preferred:
N/A
Working Conditions
Periods of high stress and fluctuating workloads may occur.
General office environment.
Required to car travel to off-site locations, occasionally in adverse weather conditions.
May have periods of constant interruptions.
Prolonged periods of working alone.
Physical Requirements
Physical Demands: Lifting/ Carrying (0-50 lbs.), Push/ Pull (0-50 lbs.). Stoop, kneel, squat
Apply for this role
Generate a tailored application kit with a matched cover letter, interview prep, and CV highlights — in under 60 seconds.
Apply Now →Generate Application KitFree account required — sign up in 30s