• Temporary Society Peer Review

    Institute of Electrical and Electronics Engineers (Piscataway, NJ)
    Temporary Society Peer Review and Educ Prog Admin - 250151 : N/A Description The overall purpose of this position: Provide assistance and support to the IEEE ... publications, supervised interaction with volunteers and staff to facilitate the timely peer review process for a few IEEE SPS publications. The role reports to… more
    Institute of Electrical and Electronics Engineers (05/22/25)
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  • Peer Review Coordinator - Multi Site

    CommonSpirit Health Mountain Region (Colorado Springs, 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
    CommonSpirit Health Mountain Region (06/03/25)
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  • Registered Nurse - Peer Review

    Veterans Affairs, Veterans Health Administration (Madison, WI)
    Summary Peer review is a protected program that identifies potential gaps and opportunity in the delivery of care to Veterans and is responsible for the elements ... associated with the Peer Review program for our facility. This position is directly responsible for protecting the internal security of the agency through… more
    Veterans Affairs, Veterans Health Administration (06/18/25)
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  • Peer Review RN Program Manager

    Virginia Mason Franciscan Health (Silverdale, WA)
    …for coordinating and overseeing multiple Virginia Mason Franciscan Health (VMFH) medical staff peer review programs and for supporting the activities of the ... (FPPE) for practitioners who have been granted clinical privileges. Peer review is instrumental in identifying, tracking and supporting the resolution… more
    Virginia Mason Franciscan Health (04/21/25)
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  • Registered Nurse- Peer Review

    Veterans Affairs, Veterans Health Administration (Orlando, FL)
    Summary The Registered Nurse Peer Review QM Specialist at the Orlando VAMC primary responsibilities include performance improvement, ensuring compliance with ... accreditation standards, knowledge of applicable standards and directives, peer review and quality data for individual profiles, support for medical staff… more
    Veterans Affairs, Veterans Health Administration (06/19/25)
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  • RN Peer Review Specialist

    Sanford Health (Fargo, ND)
    …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
    Sanford Health (06/12/25)
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  • Nuclear Engineer ( Peer Reviewer), Level…

    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
    NANA Regional Corporation (05/07/25)
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  • Patient Safety Specialist, RN - Peer Rev…

    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
    Cedars-Sinai (06/19/25)
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  • Grants Review Program Manager - Department…

    Censeo Consulting Group (Washington, DC)
    …needs of prospective applicants. Manage the coordination of Online, Hybrid, and In-Person peer review sessions based on the volume and nature of applications. ... + Schedule and facilitate peer review orientations for all reviewers (virtual or in-person), covering review procedures and timelines. + Organize peer more
    Censeo Consulting Group (04/23/25)
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  • Familiar Neighbors Peer Support Specialist

    City of Durham (Durham, NC)
    …assessment and intervention strategies as part of a crisis response team. + Peer Support Specialist will review and maintain accurate documentation in accordance ... Familiar Neighbors Peer Support Specialist Print (https://www.governmentjobs.com/careers/durhamnc/jobs/newprint/4738946) Apply  Familiar Neighbors Peer Support… more
    City of Durham (06/09/25)
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  • Utilization Review Intake RN Behavioral…

    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
    AdventHealth (06/13/25)
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  • Temporary, Utilization Review Medical…

    Commonwealth Care Alliance (Boston, MA)
    …for performing daily medical reviews, appeals as appropriate, correspondence regarding review determinations and physician peer review activities. ... Summary:** Reporting to the Senior Medical Director of Medical Policy and Utilization Review , the Utilization Review Medical Director will be responsible for… more
    Commonwealth Care Alliance (06/06/25)
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  • Utilization Review Specialist

    Spectrum Billing Solutions (Skokie, IL)
    …authorization for treatment services. + Manage authorization denials including referral for peer review . + Demonstrate the ability to make critical decisions ... healthcare organizations. We are looking to add a Utilization Review Specialist to our growing team. The Utilization ...Review Specialist to our growing team. The Utilization Review Specialist will utilize his or her knowledge and… more
    Spectrum Billing Solutions (06/06/25)
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  • Utilization Review (UR) Supervisor

    Spectrum Billing Solutions (Skokie, IL)
    …authorization for treatment services. + Manage authorization denials including referral for peer review . + Demonstrate the ability to make critical decisions ... healthcare organizations. We are looking to add a Utilization Review (UR) Supervisor to our growing team. The UR...support to staff in handling escalations and/or issues. + Review patient admission and clinical information to ensure medical… more
    Spectrum Billing Solutions (06/05/25)
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  • Quality Assurance Specialist - Registered Nurse

    Trinity Health (Grand Rapids, MI)
    …Medical Staff Quality Assurance Specialist provides clinical support for the medical staff peer review process to ensure maintenance of the highest standards ... analysis, reporting, and in-depth clinical review of cases identified for peer review identifying patterns or trends related to patient safety and quality of… more
    Trinity Health (06/10/25)
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  • Project Manager

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …help us transform healthcare? Bring your true colors to blue. Credentialing & Peer Review 's Project Manager is responsible for staff support, administrative and ... and organizational skills to develop and coordinate projects related to credentialing, peer review , continuing medical education, and any other HMM operational… more
    Blue Cross Blue Shield of Massachusetts (05/03/25)
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  • Medical Staff Services Coordinator

    HCA Healthcare (Manchester, NH)
    …of any upcoming or ongoing surveys relative to credentialing, privileging and PPE/ peer review activities and functions. Coordinate accreditation, regulatory, and ... any internal surveys relative to credentialing, privileging and PPE/ peer review activities and functions. Respond to any reviews, accreditation and regulatory… more
    HCA Healthcare (06/14/25)
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  • Utilization Review Nurse - Emergency…

    Houston Methodist (The Woodlands, TX)
    …appropriate cases to the Physician Advisor (or services) for appropriate second level review , peer - peer discussions, and payer denial- appeal needs. Consults ... At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered...towards improvement of department scores for employee engagement, ie peer -to- peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Pro-actively… more
    Houston Methodist (06/06/25)
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  • Physician Advisor

    WellSpan Health (York, PA)
    …CM nurses. + Reviews cases for determination of level of care and verify need for peer to peer review -discuss with the CM nurse and/or attending physician as ... in hospital medicine. Required + Less than 1 year Experience with peer review and/or case management. Family Medicine, Internal Medicine, or General Surgery as… more
    WellSpan Health (05/09/25)
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  • Program Support/Operations Specialist - Department…

    Censeo Consulting Group (Washington, DC)
    …seeking a highly organized and detail-oriented Program Support/Operations Specialist to support peer review activities for the Department of Justice's Office on ... to recruit, train, assign, and manage a team of recorders for peer review consensus meetings. This role involves editing transcripts, monthly and weekly reports,… more
    Censeo Consulting Group (05/10/25)
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