- 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 (WI)
- …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
- Virginia Mason Franciscan Health (Tacoma, WA)
- …review processes? Virginia Mason Franciscan Health is seeking a dedicated Medical Staff Peer Review Specialist to support our medical staff in maintaining ... a culture of safety. Professional Growth: Develop your expertise in medical staff peer review within a leading healthcare system. Collaborative Environment: Work… 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
- 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
- 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
- Bon Secours Mercy Health (Paducah, KY)
- …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
- 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
- Lane County (OR)
- …Letter from State of Oregon. + Registered as an Adult Mental Health Peer Support Specialist (THW: Traditional Health Care Worker) through OHA (Oregon Health ... done collaboratively within a multidisciplinary team that includes a registered nurse case manager as well as...you registered as an Adult Mental Health Peer Support Specialist on the Oregon Health… more
- UPMC (West Mifflin, PA)
- …and effectively within a complex environment and handle multiple and changing priorities. + Registered Nurse ( RN ) + Automotive Insurance + Basic Life Support ... members of the healthcare team and participates in the peer review process. Promotes change that enhances...(BLS) OR Cardiopulmonary Resuscitation (CPR) + Driver's License + Registered Nurse ( RN ) + Act… 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
- MyFlorida (Vero Beach, FL)
- OPS ADVANCED PRACTICE RN SPECIALIST - 64931181 Date: Sep 11, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Agency: Department of Health Working Title: OPS ADVANCED PRACTICE RN SPECIALIST - 64931181 Pay Plan: Temp...investigating communicable disease reports, established quality improvement activities, ie, peer review , records review audits,… 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
- LifePoint Health (Los Alamos, NM)
- …annually. * Supports medical staff performance improvement initiatives. * Performs chart review studies for peer review processes. Abstracts/analyzes data ... RN Risk Manager/Quality Program Specialist This...as Leapfrog, CMS, and TJC. * Coordinates medical record review and data abstraction for Core Measures, external collaboratives,… 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
- Molina Healthcare (Tucson, AZ)
- …quality monitoring audits, credentialing and re-credentialing, quality of care concerns, and peer review + Well-versed in the requirements of the quality ... to diverse audiences + Excellent problem-solving skills. + QM Nurse : Arizona-licensed RN or a Licensed Practical...Arizona State Board of Nursing (BON) + QM BH Nurse : Arizona-licensed registered nurse practitioner… 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 ... and job skills. Apply today for our Clinical Quality Specialist RN Stroke Coordinator opening and continue...mortality, complications, provide comparative data through various software programs, peer review cases * Performs basic data… 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
- 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
- MyFlorida (Vero Beach, FL)
- …investigation of communicable disease reports, established quality improvement activities, ie, peer review , records review audits, and investigation ... supplies, investigating communicable disease reports, established quality improvement activities, ie, peer review , records review , program evaluations, and… more