Manager Professional Practice Evaluation, El Camino Health, Mountain View, California

Posted on August 21st, 2021

El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen.

Working in the Medical Staff Office, the selected candidate will provide oversight for the professional practice evaluation process to include ongoing professional practice (OPPE) and focused professional practice (FPPE) for practitioners of El Camino Health, including physicians and advanced practice professionals (APP). Additional responsibilities include:

  • Developing mechanisms to efficiently manage the professional practice evaluation process, including workflows, procedures, and compliance expectations consistent with CMS (Centers for Medicare and Medicaid Services) and TJC (The Joint Commission)
  • Collaborating with various departments for development, building, and coordination of quality metrics utilized for OPPE
  • Tracking OPPE metrics for FPPE triggers and report preparation for medical staff committees’ review
  • Tracking and assuring all FPPE’s are completed timely with supporting documentation as required
  • Representing medical staff services on assigned committees to include department specialty committees, Practitioner Excellence Committee, Credentials Committee and Medical Executive Committee
  • Routinely report out to medical staff leadership on changes and new developments
  • Providing OPPE/FPPE education to medical staff and advanced practice professionals, department Chairs, medical staff committees, medical staff office personnel, and others as needed
  • Collaborating with Medical Staff Data Analyst to ensure OPPE profiles and subgroups are kept up-to-date and accurate
  • Acting as part of the medical staff database support team and subject matter expert regarding OPPE/FPPE.


  • Bachelor’s Degree in Nursing or Health Administration; Master's degree in healthcare administration or equivalent preferred
  • Five (5) years of inpatient hospital clinical experience
  • Three (3) years of experience managing an ongoing professional practice (OPPE) / focused professional practice (FPPE) program
  • Extensive knowledge of CMS and TJC standards pertinent to medical staff policies and procedures, and other state regulatory rules and regulations
  • Excellent computer skills using Microsoft Office applications (Word, Excel, PowerPoint) and web-based programs. Data collection, analysis, and presentation skills
  • Manage many simultaneous projects autonomously, maintain strict confidentiality, well organized and able to prioritize duties
  • Exceptional interpersonal, communication, and listening skills
  • Ability to work well under pressure and with deadlines, fast learner and works well in team-based environment

License/Certification/Registration Requirements:

  • Current RN licensure with the California Board of Registered Nursing preferred
  • Current certification as a Certified Professional in Healthcare Quality (CPHQ) or Certified Professional in Medical Services Management (CPCSM) or willingness and/or ability to receive certification within 2 years of hire

If you're looking for an enriching and professionally supportive environment, apply online to Req# R00003258 at EOE


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