Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Peer Review Nurse

Madera Community Hospital

Madera Community Hospital Located in the heart of Central California, Madera Community Hospital is a General Acute Care, private, not-for-profit hospital dedicated to improving and maintaining the health and wellness of residents throughout the Central Valley. We are committed to identifying and serving our community's needs with compassion, concern, care and safety for every patient. Madera Community Hospital is a growing acute care facility seeking talented individuals with a drive to provide quality care and dedicated to making a difference in our community. Position Summary: The Peer Review Nurse will evaluate clinical documentation, patient charts, and care processes to ensure they meet quality standards, regulatory requirements, and medical necessity. Will identify opportunities to improve care, reduce risk, and prepare data for medical staff review committees. Will conduct comprehensive reviews of Electronic Medical Records (EMR) to assess the appropriateness and timeliness of care provided. Identifies trends, risks, and variations in clinical performance, preparing summary reports for committees. Will facilitate the peer review process and attend peer review meetings. Part Time Position with flexible schedule. Qualifications: Requires completion of Registered Nurse program, prefer BSN. Requires Minimum 5 years clinical nursing experience, including experience in quality improvement and utilization review. Requires proficiency in data abstraction, EHR systems, and critical thinking. Requires Current State of California Board of Registered Nursing License, Current American Heart Association BCLS certificate. Madera Community Hospital provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. #J-18808-Ljbffr Madera Community Hospital

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Peer Review Nurse in Sacramento, CA vacancy
  • $107.6k

    Responsible for the retrospective review of medical records and compiling data to validate...  ...care , and accuracy of documentation. RN Peer Review Analyst will audit charts for...  ...Review Analyst will interact with physicians, nurses and other professionals regarding chart... 
    Suggested
    Full time
    Work at office

    PIH Health

    Sacramento, CA
    2 days ago
  •  ...partner networks. The Utilization Management (UM) Prior Authorization (PA) Nurse role is full-time, focused on promoting cost-effective outcomes for the designated population. You will review prior authorizations, verify coverage, and analyze utilization data in collaboration... 
    Suggested
    Full time

    NeueHealth

    Sacramento, CA
    3 days ago
  • $77.91k - $116.86k

     ...opportunity to do work that really matters, not only changing lives but saving them. Together. Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. As an inpatient review nurse, you will assist patients through the continuum of... 
    Suggested
    Remote job
    Immediate start
    Monday to Friday

    E2E Alignment Healthcare USA, LLC

    Sacramento, CA
    2 days ago
  • A leading medical review firm is seeking Board Certified physicians in various specialties to conduct Independent Medical Exams (IMEs) and Peer Reviews. This role allows for a flexible schedule while ensuring compliance with state regulations and maintaining high standards... 
    Suggested
    Flexible hours

    Dane Street, LLC

    Sacramento, CA
    2 days ago
  •  ...Rehabilitation, Occupational Medicine, Sports Medicine, and General Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your schedule and caseload within a standard Monday - Friday work week while... 
    Suggested
    For contractors
    Monday to Friday

    Dane Street, LLC

    Sacramento, CA
    2 days ago
  • $38.61 - $55.86 per hour

     ...us on LinkedIn, Facebook, and Twitter. The Job Provide clinical review of medical claims and post service appeals. Facilitate appropriate...  ...personnel e.g., Medical Director, Quality of Care (QOC) Nurse, Medical Management Specialist, Member Services, etc. Review/prepare... 
    Hourly pay
    For contractors
    Local area
    Remote work

    GRP SCAN Group

    Sacramento, CA
    2 days ago
  • # Utilization Review NurseFully Remote • Involuntary Remote - ALL STATES - Remote All States...  ...Utilization Review Nurse**Please make sure to complete all the questions...  ...identify medical necessity, and refer to Peer Physician when appropriate. Reviews must be... 
    Remote work
    Long distance

    Tristar

    Sacramento, CA
    1 day ago
  •  ...Licensed Vocational Nurse /LVN – Utilization Review (HEDIS Abstractor) HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical... 
    Private practice
    Work at office
    Monday to Friday

    HealthCare Support

    Sacramento, CA
    4 days ago
  • Clinical Reviewer - Registered Nurse (RN) Comagine Health | Washington State | Remote / Work From Home Department: Care Management Contract: Washington Labor & Industries (L&I) Location: Washington State - Remote Employment Type: Full-Time This is an excellent opportunity... 
    Full time
    Contract work
    Local area
    Remote work
    Work from home
    Home office

    Comagine Health

    Sacramento, CA
    2 days ago
  •  ...out at Job Description Candidate with HEDIS experience, medical record review experience, computer skills including Excel and Outlook. LVN,LPN and RN any 1 license must. Requires a licensed nurse; RN, LPN, LVN, Licensed professional graduate of an accredited school of... 
    Work at office

    Mindlance, Inc.

    Rancho Cordova, CA
    2 days ago
  • Comagine Health is seeking an experienced Registered Nurse to serve as a Clinical Reviewer for the Washington Labor & Industries (L&I) contract. This remote role utilizes nursing expertise to evaluate medical necessity and quality of care, supporting evidence-based decision... 
    Remote job
    Contract work
    Home office

    Comagine Health

    Sacramento, CA
    2 days ago
  • $120k - $150k

     ...credentialed physician, the Psychiatric Nurse Practitioner is responsible for delivering...  ...health status of new or existing patients by reviewing records, taking comprehensive psychiatric...  ...of care and participating in insurance peer reviews to optimize optimal length of... 
    Monday to Friday
    Weekend work

    ERC Pathlight

    Sacramento, CA
    4 days ago
  •  ...Do: The Correctional Dialysis Registered Nurse (RN ) performs the hemodialysis treatment...  ...based on current knowledge; consistently reviews and evaluates priorities as changes occur...  ...Charge Nurse. Participates in self and/or peer evaluation. Ensures the confidentiality... 
    Relief
    Work at office
    Immediate start
    Remote work
    Monday to Friday
    Shift work
    3 days per week

    Rendevor Dialysis

    Sacramento, CA
    1 day ago
  • $14.29k - $17.37k

     ...Joaquin Health Centers is seeking a compassionate and experienced Nurse Midwife to join our care team. If you believe in putting patient...  ...0926 NMW - SJHC TYPICAL DUTIES Elicits, records and/or reviews medical histories and performs acute primary care, annual, periodic... 
    Immediate start
    Flexible hours

    San Joaquin County

    Sacramento, CA
    1 day ago
  • $65 - $150 per hour

     ...certified, veteran-owned home health agency. We are hiring Registered Nurses to evaluate, plan, and deliver skilled nursing care in...  ...conferences for the patients assigned to you Take part in in-services, peer review, and quality assurance and performance improvement work as... 
    Work at office

    Empress Healthcare INC

    Sacramento, CA
    21 hours ago
  • PIH Health seeks an RN Peer Review Analyst to conduct retrospective medical record reviews ensuring quality and the accuracy of documentation. You will audit admissions and stays, monitor hospital metrics, and engage with physicians and staff to improve charting. Strong... 

    PIH Health

    Sacramento, CA
    2 days ago
  • Dane Street is an Independent Review Organization and a national provider of Utilization Review services (among other offerings) and we...  ...determination are provided in an easy, click-to-view format In cases where peer-to-peer calls are necessary (adverse determinations), Dane... 
    Extra income
    Contract work
    Remote work

    Dane Street, LLC

    Sacramento, CA
    5 days ago
  •  ...Management Physician Advisor to join our growing team! This role allows for a flexible telework arrangement where you can provide crucial peer review services while fitting your schedule. As a Physician Advisor, you will utilize your dual expertise to review cases and provide... 
    For contractors
    Remote work
    Flexible hours

    Dane Street, LLC

    Sacramento, CA
    1 day ago
  • $162.8k - $211.64k

     ...credentialed according to the rules and regulations of WellSpace Health. The medical staff of each department or service is responsible for peer review activities to promote continuous improvement of the quality of patient care provided by the medical staff in all departments of... 
    Full time
    Local area
    Flexible hours

    WellSpace Health

    Sacramento, CA
    2 days ago
  •  ...safety standards. Participate in quality improvement projects, peer review, and clinical education. Assist with discharge planning and transitions...  ...Graduate of Accredited School offering an Advanced Degree in Nurse Practice (ARNP) Current, unrestricted California NP license... 
    Full time
    Night shift

    Pulmonary Medicine Associates

    Sacramento, CA
    3 days ago
  • $100k

    Avania is hiring a Senior Medical Reviewer Salary Range up to CAD $100,000 + Annual bonus + Benefits About the Role As a Senior Medical Reviewer at Avania, you'll lead safety activities for medical device clinical studies, turning protocols into practical safety plans... 

    Avania

    Sacramento, CA
    2 days ago
  • $2,514 per week

     ...Registered Nurse (RN) | Neonatal Intensive Care Unit Location: Carmichael, CA Agency: Atlas MedStaff Pay: $2,514 per week...  ...Great Recruiters. Both of those recognitions are fueled by real reviews by real travel nurses and allied healthcare professionals that... 
    Hourly pay
    Full time
    Contract work
    Work at office
    Remote work
    Shift work
    Night shift
    Weekend work

    TravelNurseSource

    Carmichael, CA
    1 day ago
  • $2,878 - $3,057 per week

     ...Registered Nurse (RN) | Neonatal Intensive Care Unit Location: Carmichael, CA Agency: Host Healthcare Pay: $2,878 to $3...  ...that was rated #1 in Nursing Satisfaction by MIT Sloan Management Review. No matter if you want to explore the other side of the... 
    Full time
    Contract work
    Local area
    Immediate start
    Shift work
    Night shift

    TravelNurseSource

    Carmichael, CA
    1 day ago
  • $2,878 - $3,057 per week

     ...Registered Nurse (RN) | Neonatal Intensive Care Unit Location: Carmichael, CA Agency: Host Healthcare Pay: $2,878 to $3...  ...that was rated #1 in Nursing Satisfaction by MIT Sloan Management Review. No matter if you want to explore the other side of the... 
    Full time
    Contract work
    Local area
    Immediate start
    Shift work
    Night shift

    TravelNurseSource

    Carmichael, CA
    1 day ago
  • $9.6k

     ...and responding to any issues raised by the nurses during the course of the day. The...  ...studies approved by the Investigational Review Board (IRB), and orders the necessary tests...  ...physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing... 
    Hourly pay
    Full time
    Immediate start
    Remote work
    Shift work
    Night shift

    Stanford

    Sacramento, CA
    2 days ago
  • $2,670 per week

     ...Registered Nurse (RN) | Cardiovascular Operating Room Location: Sacramento, CA Agency: Magnet Medical Pay: $2,670 per...  ...Preoperative Patient Preparation: Assess patients prior to surgery by reviewing medical histories, allergies, and current medications.... 
    Full time
    Contract work
    Immediate start
    Shift work

    Magnet Medical

    Sacramento, CA
    1 day ago
  • $2,670 per week

     ...Registered Nurse (RN) | Cardiovascular Operating Room Location: Sacramento, CA Agency: Magnet Medical Pay: $2,670 per...  ...Preoperative Patient Preparation: Assess patients prior to surgery by reviewing medical histories, allergies, and current medications.... 
    Full time
    Contract work
    Immediate start
    Flexible hours
    Shift work

    TravelNurseSource

    Sacramento, CA
    1 day ago
  • $150k - $300k

     ...Psychiatric Mental Health Nurse Practitioner (PMHNP) [We show compassion to heal minds.] Legion Health is a technology-forward...  ...supported by experienced psychiatrists through consults and peer case reviews. Our vision is to pioneer a new era of medicine by delivering... 
    Remote job
    Weekly pay
    Full time
    Part time
    For contractors
    Private practice
    Immediate start
    Work from home

    Legion Health

    Sacramento, CA
    5 days ago
  •  ...Medical Reviewer (Radiologist) - Remote CA It takes great medical minds to create powerful solutions that solve some of healthcare'...  ...clinical expertise when appropriate. Collaborate with physicians, nurses, other clinical specialists, operations teams, and business... 
    Remote job
    Full time
    Work from home
    Home office
    Monday to Friday

    Gainwell Technologies

    West Sacramento, CA
    4 days ago
  • $54 - $66 per hour

    A prominent healthcare staffing agency is seeking a Utilization Review Nurse in Sacramento, CA, responsible for managing the daily operations of the UM Pre-Authorization team. The ideal candidate will ensure accurate processing of referral requests, maintain regulatory... 

    Pacific Staffing

    Sacramento, CA
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Peer Review Nurse. Be the first to apply!