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Professional Practice Evaluation Coordinator - Clinical Quality Analytics - Baptist Jacksonville

Baptist Health System, Inc.

Downtown - Pavilion

Baptist Jacksonville (Downtown)

You'll coordinate the OPPE and FPPE processes that monitor and document practitioner performance for accreditation and regulators.

Posted Oct 14 · “Clinical nursing experience required; healthcare quality experience preferred.” from the posting

Pay
Not posted
Unit and setting
Hospital
License
RN license Active Registered Nurse (RN) license required.Active RN license
Term
Permanent

Do you qualify?

License
Active RN license Active Registered Nurse (RN) license required.
Education
BSN Bachelor of Science in Nursing (BSN) required.
Experience
clinical nursing experience Clinical nursing experience required; healthcare quality experience preferred.
Also asks
strong analytical, organizational and problem-solving skills Strong analytical, organizational, and problem-solving skills.
Also asks
advanced Microsoft Excel and healthcare data management Advanced proficiency with Microsoft Excel and healthcare data management.

Preferred

Certification
CPHQ Certified Professional in Healthcare Quality (CPHQ) preferred.
Experience
healthcare quality experience
Experience
credentialing, medical staff services, quality management, regulatory compliance or provider performance evaluation experience Experience with credentialing, medical staff services, quality management, regulatory compliance, or provider performance evaluation preferred.

Pay isn’t listed.

The role and schedule

Day to day
coordinating OPPE and FPPE activities for medical staff and providers Coordinate OPPE and FPPE activities for medical staff and providers.
Day to day
pulling and validating practitioner performance data Collect, analyze, and validate practitioner performance data from multiple sources.
Day to day
reports for credentialing, privileging and medical staff committees Prepare reports and supporting documentation for credentialing, privileging, and medical staff committees.
Day to day
compliance monitoring for Joint Commission and CMS Monitor compliance with Joint Commission, CMS, and organizational requirements.
Day to day
audits and survey readiness Conduct audits and assist with survey readiness activities.
Day to day
teaching staff on OPPE and FPPE processes and requirements Educate stakeholders on professional practice evaluation processes and requirements.

The workplace

Baptist Health System, Inc.
Health system employer

Your fit

Questions to ask

  • Can you walk me through base pay range and differentials?
  • What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load, floating, and staffing support handled day to day?
Build questions for this role

Original listing

Posted on Baptist Health System, Inc.’s careers page.

Read full text

About Baptist Health

Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as “most preferred” for more than 30 years. We’re Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital.

Baptist Health is seeking a Professional Practice Evaluation Coordinator to support provider quality, regulatory compliance, and credentialing initiatives across the health system. This role is responsible for coordinating the Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE) processes, ensuring practitioner performance is monitored, documented, and reported in accordance with accreditation and regulatory standards. Key Responsibilities Coordinate OPPE and FPPE activities for medical staff and providers.

Collect, analyze, and validate practitioner performance data from multiple sources. Prepare reports and supporting documentation for credentialing, privileging, and medical staff committees. Maintain accurate and confidential records related to professional practice evaluations, peer review activities, and provider performance.

Collaborate with medical staff leadership, quality teams, department leaders, and hospital administration to support quality and regulatory initiatives. Monitor compliance with Joint Commission, CMS, and organizational requirements. Conduct audits and assist with survey readiness activities.

Identify opportunities for process improvement and support implementation of best practices. Educate stakeholders on professional practice evaluation processes and requirements. Qualifications Bachelor of Science in Nursing (BSN) required.

Active Registered Nurse (RN) license required. Clinical nursing experience required; healthcare quality experience preferred. Strong analytical, organizational, and problem-solving skills.

Advanced proficiency with Microsoft Excel and healthcare data management. Experience with credentialing, medical staff services, quality management, regulatory compliance, or provider performance evaluation preferred. Certified Professional in Healthcare Quality (CPHQ) preferred.

Why Join Baptist Health? This role offers an opportunity to partner with physicians, medical staff leaders, and quality teams to enhance provider performance, support accreditation readiness, and promote high-quality patient care throughout the organization.

Primary Location

  • Downtown - Pavilion
  • 836 Prudential Dr
  • Jacksonville, FL 32207
  • United States of America

Nurses on this role

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