- AMN Healthcare (Merced, CA)
- …Lead 80% administrative portfolio with 20% dedicated to quality improvement (QI) Oversee peer review , staff credentialing, and serve on the governing body Drive ... Job Description Requirements Medical Director StartDate: 4/1/2026 Pay Rate: $220000.00 -...to expand services on a newer campus Join a peer leadership team of 5 at this level, and… more
- The Walt Disney Company (Corporate) (Los Angeles, CA)
- …in the corporate Global Security space. The Manager will internally collaborate with peer teams and management in the GSCC: Specialists and Dispatch to ensure ... and collecting metrics to evaluate internal processes and vendor performance for review by Global Security and GSCC leadership. Identify qualitative and quantitative… more
- Healthfirst (NY)
- **Duties//Responsibilities:** + **The Medical Peer Reviewer will assess// review requests for authorization, and claims payment, based on medical ... information and make informed clinical judgments and recommendations.** + **The Medical Peer Reviewer will render determinations in the format and… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- … peer review processes? Virginia Mason Franciscan Health is seeking a dedicated Medical Staff Peer Review Specialist to support our medical staff ... a culture of safety. Professional Growth: Develop your expertise in medical staff peer review within a leading healthcare system. Collaborative Environment:… more
- Sanford Health (Bemidji, MN)
- …from data systems and ongoing monitoring activities to persons and committees for use in Medical Staff peer review processes and activities to include case ... Full time **Weekly Hours:** 40.00 **Salary Range:** 31.00 - 49.50 **Job Summary** The Peer Review Specialist facilitates provider peer review processes… more
- Veterans Affairs, Veterans Health Administration (Benton Harbor, MI)
- …in the qualifications section. THIS IS NOT A REMOTE/TELEWORK POSITION The Battle Creek VA Medical Center Network is hiring a Peer Specialists to serve in the ... Summary This Peer Specialist position may only be filled with...work has been completed with minimal supervisory oversight and review , however close supervision will have been provided for… 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 ... at facility Operational Safety Boards, etc. + Must be Peer Review qualified. + Staff Augmentation ...successfully complete a post- offer, pre-employment drug test. + Medical Exam(s) - Job related pre-placement medical … more
- Commonwealth Care Alliance (Boston, MA)
- …Reviewer is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization ... clinical teams on service planning as needed + Works closely with CCA Clinicians, Medical Staff and Peer Reviewers to facilitate escalated reviews in accordance… more
- Hartford HealthCare (Norwich, CT)
- …including meeting management and regulatory compliance for credentialing, peer review and disciplinary procedures * Collaborate with Medical Staff Leaders ... Hartford HealthCare central Credentials Verification Office * Directs and manages the Medical Staff Peer Review Program including data collection, review … more
- CommonSpirit Health (West Jordan, UT)
- …and oversight of all aspects of Medical Staff governance to include credentialing, peer review , medical staff relations, medical staff meetings, and ... practice reviews to ensure compliant and effective peer review at the hospital. + May direct Medical Staff peer review activities, ensuring both… more
- CommonSpirit Health (Garden City, KS)
- …and oversight of all aspects of Medical Staff governance to include credentialing, peer review , medical staff relations, medical staff meetings, and ... practice reviews to ensure compliant and effective peer review at the hospital. + May direct Medical Staff peer review activities, ensuring both… more
- CommonSpirit Health (Lakewood, CO)
- …and oversight of all aspects of Medical Staff governance to include credentialing, peer review , medical staff relations, medical staff meetings, and ... practice reviews to ensure compliant and effective peer review at the hospital. + May direct Medical Staff peer review activities, ensuring both… more
- Intermountain Health (Murray, UT)
- …patient safety of the facility, including through OPPE, FPPE, and Peer Review . Maintains a solid working relationship with medical staff, advanced practice ... practitioners. + Oversees Medical Staff quality programs, including medical staff peer review , Ongoing Professional Practice Evaluation (OPPE), Focused… more
- Ascension Health (Tulsa, OK)
- …risk-related data. + Coordinate the medical staff's professional performance evaluation and peer review programs in a manner that fulfills the mission and ... coordinate the activities and flow of work for the peer review program. + Collect, evaluate, and...action where appropriate. + Collaborate in any investigative, judicial review or appeal process involving medical or… more
- Elevance Health (Morristown, NJ)
- …clinical guidelines and supports new policies based on changes in the healthcare or medical arena. + Conducts peer -to- peer clinical reviews with attending ... **Plan Performance Medical Director- New York Commercial** Location: This role...physicians or other providers to discuss review determinations. + May conduct peer -to-… more
- Centene Corporation (Baton Rouge, LA)
- …for medical necessity and appropriateness of care + Conduct peer reviews with psychologists, behavioral health therapists and/or Board Certified Behavior ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Centene Corporation (Austin, TX)
- …for medical necessity and appropriateness of care + Conduct peer reviews with psychologists, behavioral health therapists and/or Board Certified Behavior ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- The Joint Commission (Oakbrook Terrace, IL)
- …Field Representatives, with minimal direction or supervision, survey and/or review health care organizations throughout the United States. Field Representatives ... **Responsibilities** Position Accountabilities: + Ability to analyze and synthesize survey/ review findings to provide conclusions, recommendations and educational opportunities.… more
- HonorHealth (AZ)
- …implementation of initiatives within assigned scope. Provides operational oversight for the hospital's Medical Staff Peer Review System across the network to ... ongoing professional practice evaluation (OPPE), focused professional practice evaluation (FPPE), and peer review processes. Collaborates with medical staff… more
- Evolent (Olympia, WA)
- …payers. Will work with the Director of UM to ensure client satisfaction. Perform all peer clinical review activities while located in a state or territory of the ... under the auspices of the office of the Chief Medical Officer. **ESSENTIAL DUTIES AND RESPONSIBILITIES** : include the...patients as directed by the office of the Chief Medical Officer. Responsible for clinical conversations with providers and… more
