- Mercyhealth Hopsital and Medical Center - Walworth (Lake Geneva, WI)
- …Date 08/05/2025 End Date 11/04/2025 Duration 13 Week(s) Job Description Job Title: Experienced ER Registered Nurse ( RN ) - Night Shift Job Description: We are ... seeking a dedicated and experienced Emergency Room (ER) Registered Nurse ( RN ) to join...command. - Participate in professional nursing continuum processes, including peer review , unit practice activities, and decision-making.… more
- Trinity Health (Columbus, OH)
- …experiences to call your own in Columbus. Learn more at www.experiencecolumbus.com ! The Peer Review Specialist provides leadership and coordination for the ... provider peer review processes across the facilities and service areas within...**License / Certification** : Current license to practice as Registered Nurse in the State of Ohio.… 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 ... to persons and committees for use in Medical Staff peer review processes and activities to include...Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …using applicable workflows. + Participates in process improvement, professional development, and peer review . + Maintains active RN licensure within ... required by their supervisor, subject to reasonable accommodation. Licensing/Certification + Active Registered Nurse ( RN ) - Required + Active… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …to reasonable accommodation and appropriate within the scope of practice for the registered nurse _._ Licensing/Certification RN license required in ... business operations is maintained. + Participates in process improvement, professional development, peer development and peer review This document is… more
- Bon Secours Mercy Health (Newport News, VA)
- …improvement committees and projects as needed. + Supports Medical Staff Quality and Peer Review . + Promotes practices that detect, mitigate or prevent harm ... contractual reporting obligations using data analytics and analysis + Facilitates provider performance review activities through the peer review , ongoing and… more
- Roper St. Francis (Charleston, SC)
- …Charge Nurse I. Experience: Experience: At least 2 years� experience as a registered nurse in a direct care patient setting for Primary Charge Nurse ... Nurse role. Licensure/Certification: Applicant must be currently licensed as a Registered Nurse in South Carolina or hold a current compact/multi-state… more
- Beth Israel Lahey Health (Cambridge, MA)
- …to the Director of Quality & Patient Safety, the Quality and Patient Safety nurse specialist plays a role in reviewing publicly reported quality data by ... on the key performance indicators and quality measures, the RN specialist also aims to foster a...insurance appeals, internal correspondence, and clinical summaries for medical peer review . 5. Excellent understanding of clinical… more
- McLaren Health Care (Port Huron, MI)
- …Degree in Nursing (BSN) from an accredited program + Current State of Michigan Registered Nurse license + BLS and/or Canadian equivalent + Minimum two (2) ... critical thinking skills. 4. Works with Case Management and Utilization Review regarding potential admissions. 5. Responsible to coordinate infection control when… more
- Cedars-Sinai (CA)
- …review role is strongly preferred **Req ID** : 10431 **Working Title** : Patient Safety Specialist , RN - Peer Rev Quality Svc Pt Safety **Department** : ... Bachelor of Arts degree in biological sciences. BSN preferred + Current, active Registered Nurse license required. **Experience and Skillset:** + 5 years prior… more
- HCA Healthcare (Portsmouth, NH)
- …Degree required + 1-3 years related experience + New Hampshire Registered Nurse license or valid compact RN license preferred, not required **At** Portsmouth ... identify unexpected mortality, complications, provide comparative data through various software programs, peer review cases * Performs basic data analysis and… more
- UPMC (Mechanicsburg, PA)
- …Ostomy certification preferred. + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Registered Nurse ( RN ) + Act 31 Child Abuse Reporting with ... **Wound Care Specialist ( RN ) - UPMC West Shore**...members of the healthcare team and participates in the peer review process. Promotes change that enhances… more
- Houston Methodist (Houston, TX)
- …decision support or similar information analysis role **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... At Houston Methodist, the Performance Improvement Specialist is responsible for the development of performance...design to hardwire patient safety processes. + Conducts record review for performance improvement, peer review… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) responsible for promoting ... Utilization Review Nurse and Utilization Review Specialist Nurse job roles...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Molina Healthcare (Albany, NY)
- …quality monitoring audits, credentialing and recredentialing, quality of care concerns, and peer review . * Demonstrates understanding of requirements of the ... in a managed care setting, or equivalent experience * Registered Nurse . License must be active and...health experience (depends on state/contractual requirements). * Quality auditing, peer review , and process improvement experience. *… more
- Highmark Health (Harrisburg, PA)
- …clinical documentation through concurrent, prospective, and retrospective medical record review (30%) + Facilitate modifications to clinical documentation through ... Excellent communication skills + Critical thinking skills + Certified Coding Specialist (CCS) + Certified Outpatient Clinical Documentation Improvement Specialist… more
- BriteLife Recovery (Englewood, NJ)
- What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible ... for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving substance use disorder (SUD) treatment at… more
- Cleveland Clinic (Cleveland, OH)
- …Care certification from an accredited school/college of nursing_ + _Current license as a Registered Nurse in the State of Ohio_ + _Current OH license*_ ... Care Medicine. Fellows begin with a boot camp to review and establish the fundamentals of practice. Each week...the field of Critical Care Medicine. The Advanced Practice Registered Nurse , Certified Nurse Practitioner… more
- Community Health Systems (Franklin, TN)
- …Knowledge of HIPAA regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating...concurrent denials by submitting reconsiderations or coordinating peer -to- peer reviews. + Communicates effectively with utilization review… more
- UPMC (Pittsburgh, PA)
- …Certificate of a WOCN board-certified WOCNEP preferred **Licensure, Certifications, and Clearances:** + Registered Nurse ( RN ) + Current licensure either in ... **What can you Expect as a Wound Care Program Specialist ?** The Wound Care Specialist applies the...members of the healthcare team and participates in the peer review process. You will promote change… more
