[Hiring] RN Provider Performance Specialist Senior @Corewell Health

Role Description

This position is 100% remote and averages about 10 hours per week. While the role offers flexibility in how you structure your schedule, candidates are expected to complete most of their work during typical business hours to support team collaboration.

Step into a high-impact role where your clinical expertise directly influences provider quality and patient outcomes. As an RN Provider Performance Specialist Senior, you will serve as a trusted partner to medical staff leadership, leading in-depth clinical case reviews, analyzing performance trends, and guiding physician peer review processes across the system. This role is ideal for a highly experienced RN who brings strong clinical judgment, thrives in complex problem-solving situations, and is confident navigating sensitive provider performance concerns. If you’re passionate about improving care delivery, collaborating with physician leaders, and driving meaningful change through data and insight, this is an opportunity to make a measurable difference at the forefront of healthcare quality.

Job Summary

• Facilitates the maintenance of physician performance monitoring and analysis, including process and outcomes measures for assigned physician specialties.
• Leads and facilitates medical staff performance committees, completes case reviews, data trending, communications, and joint commission requirements with/for physician performance.
• Supports the medical staff electronic review process and applications to support workflows.
• Partners with all facilities to educate, evaluate, and support workflows for system peer review.

Essential Functions

• Understand medical staff accreditation guidelines and the bylaws and rules and regulations of the organized medical staff.
• Supports processes for the evaluation and outcomes of the physicians with privileges.
• Supports medical staff leadership and their responsibility in quality improvement, care of the patient, and maintenance of competency requirements through data analysis and monitoring.
• Partner with all SH facilities to facilitate workflows, implement changes, and coordinate reviews and referrals.
• Partners with medical staff services and quality improvement to align performance metrics for physician specialties across the hospital group.
• Ensures updating of performance metrics regularly.
• Completes clinical case review to support physician peer review and other Joint Commission reporting requirements.
• Uses appropriate applications and tools to support data tracking and trending for hospital group specialties.
• Supports focused professional performance workflows and ongoing measuring and monitoring of the medical staff.
• Facilitates medical staff performance review committees, electronic workflows, and individual physician action plans.
• Works to continually improve the performance management process, optimize reporting, and increase physician engagement in data and improvement.
• Supports education sessions for physicians as needed.
• Supports orientation of new staff.

Qualifications

• Required: Bachelor's Degree in nursing, health care, or health care administration (or equivalent education and experience)
• LIC-Registered Nurse (RN) - State of Michigan
• 5 years of inpatient hospital care or health care administration
• Experience working in an organization of size and complexity comparable to Corewell Health
• Clinical background
• Preferred: Project management or process improvement

Benefits

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status