Medical Staff Quality Coordinator:
Centura Health

Centura Health
Westminster Colorado

The Future of Health and Wellness

St. Anthony North Health Campus, a $177 million, 350,000-foot facility, provides a whole new way of delivering care. Built on the pillars of convenience, wellness and person-centered care, the St. Anthony North Health Campus offers inpatient and outpatient care at one site, with an emphasis on preventive health, wellness and health education.                 

A centerpiece of Centura Health’s “health neighborhood approach,” the St. Anthony North Health Campus will offer a variety of health services that deliver optimal health care value to the communities of Westminster, Erie, Brighton, Broomfield, Northglenn and Thornton.

Comprehensive Care, Close to Home

With comprehensive primary and specialty care, diagnostics, labs and emergency care, the St. Anthony North Health Campus makes it easy for north Denver residents to get all their health care needs met close to home.

Job Description/Job Posting ID: 123844

Recruiter Contact: Hailey Meseraull

Clinic/Department: 8728 SVC CTR PROVIDER CRED DATA MGT 


Schedule: Full-Time (40 hours/week)

Shift: Days (Monday-Friday)

Position Summary

The purpose of the Peer Review Coordinator position is to ensure quality patient care by effectively managing the Medical Staff’s Peer Review Program, which encompasses the ongoing and focused professional performance review processes, the clinical care case referral/disposition processes, and the professional conduct case referral/disposition processes.  Due to multiple Medical Staffs and facilities, this Coordinator must establish many effective relationships, work within multiple organizational structures and cultures, manage various systems/policies, and move between facilities with ease.  They manage multiple Medical Staffs in the functioning for analyzing practitioner-specific patient care data (case referrals, medication safety, mortality review, length of stays, occurrences, complaints, etc.).  Ensures the Medical Staff’s education and knowledge in methodologies of data management and interpretation, for improving patient care. 


This position administers a regulatory-compliant, effective and efficient peer review program, from data gathering through facilitating the Medical Staff’s governance systems in peer review.  These functions involve support to and communications with numerous hospital departments, executive administration, and the governing board, pursuant to the requirements set forth in Medical Staff Bylaws and Federal/State laws.  The Peer Review Coordinator must direct, educate and motivate physician leaders to accomplish their assigned tasks either with matters of significance to department business or in support of the credentialing program.  The position is also responsible for the integration of services between the MSSD, IT and Quality Departments with regards to the peer review program.

Minimum Education Requirements

  • High School Diploma or GED

  • Bachelor’s degree in healthcare related field strongly preferred; in lieu of bachelor’s degree 2 years’ experience in healthcare related field required.

  • Education in a clinical field, preferred

Minimum Experience Requirements

  • Current knowledge of and successful application of risk management and regulatory agency requirements/standards.

  • Experience with electronic medical record systems and knowledge of clinical/medical terminology and concepts

  • Previous data management and analysis experience, preferred


  • Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS), preferred.

Position Duties (essential functions denoted with an *)

  • Administers a regulatory-compliant, effective peer review program, from data maintenance/mining in the MER through facilitation the entire due process

  • Aggregates, analyzes, presents and maintain practitioner specific quality data.

  • Communicates with each practitioner to ensure records are identify and analyzed for the evaluation of competence.

  • Researches and prepares case synopsis for assignment to Committee for initial evaluation of referred cases.

  • Coordinates agendas and facilitates Peer Review Committee meetings; creates all documentation/materials and communicates directly with involved practitioners.

  • Develops and delivers clear and concise reports for practitioner’s evaluations at the appropriate intervals.

  • Responsible for the integration of services between the Medical Staff, IT and Quality departments with regards to the peer review program.

  • Represents the Medical Staff in regulatory readiness plans/committees for TJC, CMS and DOH.

  • Researches and develops relevant and appropriate educational activities based upon the outcomes of peer review findings.

  • Identifies and accumulates data for analyses for practitioner specific review, procedural trends and rule rate indicates.

  • Obtains clinical evidence from appropriate literature or standards and comparison information from relevant databases.

  • Evaluates, verifies and challenges when appropriate, the aggregated data to ensure the integrity of the program.

  • Identifies and reports our negative trends or individual incidents to mitigate the organization’s risk.

  • Collaborates with Medical Staff leaders to determine action plans, implements and documents action plans and ensure follow-up.

Physical Requirements

  • Sedentary Work - prolonged periods of sitting and exert/lift to 10 lbs. force occasionally)

Important notification to applicants as of Nov. 20, 2014: Effective Jan. 1, 2015, Centura Health will no longer hire tobacco users in Colorado and Kansas. The change to our policy does not apply to associates hired on or before Dec. 31, 2014. Centura Health is an Equal Opportunity Employer, M/F/D/V.

Basic Qualifications