- Guidehouse (Bethesda, MD)
- …Public Trust **What You Will Do** **:** We are currently searching for a Peer Review Operations Specialist. This role is responsible for end-to-end coordination ... and support of scientific peer review meetings. This includes creating and managing meetings in Committee Management, maintaining reviewer rosters, conducting… more
- CommonSpirit Health Mountain Region (Lakewood, CO)
- …and leaders who care about your success. Job 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… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …and analytical professional passionate about improving patient care through effective peer review processes? Virginia Mason Franciscan Health is seeking ... a dedicated Medical Staff Peer Review Specialist to support our medical staff in maintaining the highest standards of clinical excellence. In this vital role,… more
- Sanford Health (Bemidji, MN)
- …Full time **Weekly Hours:** 40.00 **Salary Range:** 31.00 - 49.50 **Job Summary** The Peer Review Specialist facilitates provider peer review processes ... ongoing monitoring activities to persons and committees for use in Medical Staff peer review processes and activities to include case review , Ongoing and… more
- Seattle Children's (Seattle, WA)
- …and provides administrative management and support in the areas of professional standards/ peer review , medical staff governance, and medical staff member ... executive-level program stakeholders. Required Credentials: + NA Preferred: **Experience with Peer Review or with the PACE program** **Program Manager II** +… more
- NANA Regional Corporation (Oak Ridge, TN)
- …of outstanding professionals, apply today! **Responsibilities** + Development, revision, and peer review of Nuclear Criticality Safety (NCS) documentation such ... documents, participation at facility Operational Safety Boards, etc. + Must be Peer Review qualified. + Staff Augmentation peer review support… more
- Cedars-Sinai (CA)
- …in an acute care setting. + 1 year minimum experience in a quality improvement/ peer review role is strongly preferred **Req ID** : 10431 **Working Title** ... : Patient Safety Specialist, RN - Peer Rev Quality Svc Pt Safety **Department** : Peer Rev Quality Svc Pt Safety **Business Entity** : Cedars-Sinai Medical Center… more
- Dignity Health (Carmichael, CA)
- …of utilization review , hospital policies and external regulatory agencies, Peer Review Organization (PRO), Joint Commission, and payer defined criteria ... **Responsibilities** **Day Per Diem Utilization Review Registered Nurse - Onsite Campus Position** The...on concurrent denials based on payer timeframes. + Coordinates Peer to Peer between hospital provider and… more
- AdventHealth (Glendale Heights, IL)
- …assure resolution of pending denials, which have been referred to the physician for peer -to- peer review with the Medical Director of the insurance carrier. ... for escalation to the Physician Advisor or designated leader for additional review as determined by department standards. Additionally, the UM RN is responsible… more
- State of Connecticut, Department of Administrative Services (New Haven, CT)
- …types of case reviews for quality and appropriate medical management, cost containment, peer review and rehabilitation; + Summarizes and analyzes data; + ... Utilization Review Nurse (40 Hour) Office/On-Site Recruitment # 250715-5612FP-001 Location New Haven, CT Date Opened 7/22/2025 12:00:00 AM Salary $78,480 -… more
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