Talent.com
RN Peer Review Specialist
RN Peer Review SpecialistSanford Health • Benedict, US
No longer accepting applications
RN Peer Review Specialist

RN Peer Review Specialist

Sanford Health • Benedict, US
30+ days ago
Job type
  • Full-time
  • Part-time
Job description

Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Facility : Bemidji Medical Center Location : Bemidji, MN Address : 1300 Anne St NW, Bemidji, MN 56601, USA Shift : 8 Hours - Day Shifts Job Schedule : Full time Weekly Hours : 40.00 Salary Range : 31..50 Job Summary The Peer Review Specialist facilitates provider peer review processes at a regional level. Assists in the monitoring of quality of care provided in inpatient and outpatient settings through focused studies and assigned routine monitoring, utilizing defined guidelines and criteria of the Medical Staff. Gathers clinical data, prepares summary reports, and presents findings derived from data systems and ongoing monitoring activities to persons and committees for use in Medical Staff peer review processes and activities to include case review, Ongoing and Focused Professional Practice Evaluation, and evaluation of provider applications for appointment, reappointment and request for clinical privileges. Collaborates with regional counterparts to standardize processes and provide assistance as necessary. Qualifications Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and / or possess multistate licensure if in a Nurse Licensure Compact (NLC) state. Obtains and subsequently maintains required department specific competencies and certifications. Benefits Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work / life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit . Sanford is an EEO / AA Employer M / F / Disability / Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please callor send an email to . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. Req Number : R Job Function : General Administration Featured : No

Create a job alert for this search

Peer Specialist • Benedict, US

Related jobs
Utah Licensed Care Review RN

Utah Licensed Care Review RN

VirtualVocations • Alexandria, Virginia, United States
Full-time
A company is looking for a Care Review Clinician (RN).Key Responsibilities Assesses services for members to ensure optimum outcomes and compliance with regulations Analyzes clinical service requ...Show more
Last updated: 2 days ago • Promoted
California Licensed Care Review RN

California Licensed Care Review RN

VirtualVocations • Rockville, Maryland, United States
Full-time
A company is looking for a Care Review Clinician (RN).Key Responsibilities Assess services for members to ensure compliance with regulations and optimal outcomes Analyze clinical service request...Show more
Last updated: 1 day ago • Promoted
Wisconsin Licensed Clinical Appeals RN

Wisconsin Licensed Clinical Appeals RN

VirtualVocations • Alexandria, Virginia, United States
Full-time
A company is looking for a Clinical Appeals RN - Remote.Key Responsibilities : Perform medical reviews on provider inquiries and member appeals Ensure compliance with Department of Labor and Stat...Show more
Last updated: 30+ days ago • Promoted
RN Licensed Utilization Management Director

RN Licensed Utilization Management Director

VirtualVocations • Rockville, Maryland, United States
Full-time
A company is looking for a Director, Utilization Management Support Operations.Key Responsibilities Directs the utilization management team to ensure compliance with policies and procedures for o...Show more
Last updated: 30+ days ago • Promoted
RN

RN

Fresenius Medical Care • Silver Spring, MD, US
Full-time
The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision an...Show more
Last updated: 1 day ago • Promoted
State Licensed RN Medical Reviewer

State Licensed RN Medical Reviewer

VirtualVocations • Alexandria, Virginia, United States
Full-time
A company is looking for a Remote RN - Medical Claims Reviewer.Key Responsibilities Review medically complex claims, pre-authorization requests, appeals, and fraud / abuse referrals Assess payment...Show more
Last updated: 12 hours ago • Promoted • New!
RN - Telemetry in California, MD - $2,440 / week

RN - Telemetry in California, MD - $2,440 / week

Vetted Health • California, MD, US
Full-time
Vetted is seeking a RN - Telemetry for a travel job in Leonardtown, Maryland.The assignment starts on ASAP and is 13 weeks long with 10 hour shifts 5 days a week. You must live 60 miles away from th...Show more
Last updated: 30+ days ago • Promoted
RN

RN

Riderwood Village by Erickson Senior Living • Silver Spring, MD, US
Full-time
Riderwood Village by Erickson Senior Living.We have a highly dedicated and passionate team who believe our residents and their families and deserve the highest quality home care.The RN in Home Care...Show more
Last updated: less than 1 hour ago • Promoted • New!
Tennessee RN Utilization Review

Tennessee RN Utilization Review

VirtualVocations • Rockville, Maryland, United States
Full-time
A company is looking for an RN Utilization Review.Key Responsibilities Perform clinical assessments and evaluate injured employees' treatment utilization and compliance Collaborate with healthca...Show more
Last updated: 5 days ago • Promoted
RN - Telemetry in Callaway, MD - $2,440 / week

RN - Telemetry in Callaway, MD - $2,440 / week

Vetted Health • Callaway, MD, US
Full-time
Vetted is seeking a RN - Telemetry for a travel job in Leonardtown, Maryland.The assignment starts on ASAP and is 13 weeks long with 10 hour shifts 5 days a week. You must live 60 miles away from th...Show more
Last updated: 30+ days ago • Promoted
Texas Licensed Professional Review Supervisor

Texas Licensed Professional Review Supervisor

VirtualVocations • Alexandria, Virginia, United States
Full-time
A company is looking for a Professional Review Supervisor.Key Responsibilities Perform professional coding reviews of medical records and documentation Assist in processing claims based on state...Show more
Last updated: 5 days ago • Promoted
Licensed Utilization Review Clinician

Licensed Utilization Review Clinician

VirtualVocations • Rockville, Maryland, United States
Full-time
A company is looking for a Utilization Review Clinician - ABA.Key Responsibilities Evaluates member's care and health status related to Applied Behavioral Analysis (ABA) services to ensure medica...Show more
Last updated: 30+ days ago • Promoted
Texas Licensed Concurrent Review RN

Texas Licensed Concurrent Review RN

VirtualVocations • Rockville, Maryland, United States
Full-time
A company is looking for an RN Concurrent Review.Key Responsibilities Monitor and document medical treatment telephonically, ensuring compliance with established guidelines Track patient progres...Show more
Last updated: 5 days ago • Promoted
Travel Registered Nurse (RN) - Home Health (HH) - $1,961 per week in Washington, DC

Travel Registered Nurse (RN) - Home Health (HH) - $1,961 per week in Washington, DC

TravelNurseSource • Washington, DC, US
Full-time
TravelNurseSource is working with American Medical Staffing to find a qualified Home Health RN in Washington, Washington DC, 20008!. We’re living in the new normal.Lives and careers look different t...Show more
Last updated: 3 days ago • Promoted
Texas Licensed Care Review Clinician

Texas Licensed Care Review Clinician

VirtualVocations • Rockville, Maryland, United States
Full-time
A company is looking for a Care Review Clinician (RN) for Prior Authorization.Key Responsibilities Assess services for members to ensure optimum outcomes and compliance with regulations Analyze ...Show more
Last updated: 4 days ago • Promoted
RN

RN

Target • Upper Marlboro, MD, US
Part-time
Pay is based on several factors which vary based on position.These include labor markets and in some instances may include education, work experience and certifications. In addition to your pay, Tar...Show more
Last updated: less than 1 hour ago • Promoted • New!
RN Clinical Review Clinician

RN Clinical Review Clinician

VirtualVocations • Alexandria, Virginia, United States
Full-time
A company is looking for a Clinical Review Clinician - Appeals.Key Responsibilities Performs clinical reviews to resolve and process appeals by analyzing medical records and clinical data Ensure...Show more
Last updated: 30+ days ago • Promoted
Ohio Licensed Utilization Management RN

Ohio Licensed Utilization Management RN

VirtualVocations • Alexandria, Virginia, United States
Full-time
A company is looking for a Utilization Management RN Reviewer.Key Responsibilities Conduct admission, concurrent, and retrospective reviews of patient charts and clinical systems Collaborate wit...Show more
Last updated: 5 days ago • Promoted