Quality Review Specialist
Edward-Elmhurst Health
## Quality Review SpecialistApplylocations: EVH Evanston Hospital: HPH Highland Park Hospital: SKH Skokie Hospital: GBH Glenbrook Hospital Glenviewtime type: Full timeposted on: Posted Todayjob requisition id: R43079**Hourly Pay Range:**$38.67 - $59.94 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.**Position Highlights:*** Position: Quality Review Specialist* Location: Evanston, IL* Full Time: 40 hours/week* Hours: Monday-Friday, 8:00a-5:00p**What you will do:*** Coordinate the medical staff peer review process for designated Entity departments and system service line(s). Prepare peer review case summaries and ensure appropriate case routing to physician reviewers or committees.* Collect, review, and analyze clinical data and documentation related to potential peer review cases.* Facilitate peer review committee meetings including agenda, minutes, and key follow ups in collaboration with Medical Staff Department Chair(s).* Prepare Executive, Board level reports including practice trends, improvement activities, and adjudication activities of the peer review/quality committees* Collaborate with Medical Staff Leadership to develop relevant, specialty specific rate, rule, and peer review indicators* Support and facilitate ongoing professional practice evaluation (OPPE) and focused professional practice evaluation (FPPE) per policy* Ensure compliance with The Joint Commission (TJC), CMS, and hospital policies regarding Medical Staff peer review, OPPE, FPPE, and quality. Support for accreditation activities including Medical Staff standards compliance and survey ready mindset* Key content expert for physician orientation, education on peer review processes, principles of just culture, and quality improvement. Provides guidance and education for other key stakeholders as well.* Work closely with the Medical Staff Office to support credentialing and reappointment processes with OPPE, peer review outcomes.* Support nursing peer review practice, indicator development, data trending, and improvement* Quality of care, outcome clinical reviews (e.g. Patient Safety Indicators, QIO, etc.) includes data trending and performance opportunities* Other quality initiatives and projects as assigned**What you will need:****Minimum Education Level*** **REQUIRED: Bachelor's degree** in a clinically focused area (e.g., Nursing, Occupational Therapy, Physical Therapy, Pharmacy, Health Information Technology, or other healthcare-related field).* **PREFERRED: Master's degree** clinically focused area (e.g., Nursing, Occupational Therapy, Physical Therapy, Pharmacy, Health Information Technology, or other healthcare-related field).**Minimum Licensure Requirements*** **REQUIRED:** Registered Nurse (RN) licensure in State of Illinois or other relevant clinical license in the State of Illinois**Minimum Certification Requirements*** Certified Professional in Healthcare Quality (CPHQ), preferred**Minimum Work Experience*** 5 – 7 years of clinical experience**Benefits (for full and part time positions):*** Premium pay for eligible employees* Career Pathways to Promote Professional Growth and Development* Various Medical, Dental, and Vision options* Tuition Reimbursement* Free Parking at designated locations* Wellness Program Savings Plan* Health Savings Account Options* Retirement Options with Company Match* Paid Time Off* Community Involvement OpportunitiesEndeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence. For more information, visit you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.Please explore our website ( to better understand how Endeavor Health delivers on its mission to “help everyone in our communities be their best”.Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor. #J-18808-Ljbffr
$38.67 - $59.94 per hour
...determined by a candidate's expertise and years of experience, among other factors. Position Highlights: Position: Quality Review Specialist Location: Evanston, IL Full Time: 40 hours/week Hours: Monday-Friday, 8:00a-5:00p What you will do:...SuggestedHourly payFor contractorsWork experience placementWork at officeMonday to Friday$38.67 - $59.94 per hour
...offered is determined by a candidate's expertise and years of experience, among other factors. Position Highlights Position: Quality Review Specialist Location: Evanston, IL Full Time: 40 hours/week Hours: Monday-Friday, 8:00a-5:00p What You Will Do Coordinate the medical...SuggestedHourly payFull timePart timeFor contractorsWork experience placementWork at officeMonday to Friday- NorthShore University HealthSystem is looking for a Quality Review Specialist based in Glenview, IL. This full-time role entails coordinating the medical staff peer review process and ensuring compliance with hospital policies and quality standards. Applicants are required...SuggestedFull time
- Edward Elmhurst Health is seeking a Quality Review Specialist in Evanston, IL. The position is full-time, requiring 40 hours a week from Monday to Friday. Key responsibilities include coordinating the peer review process for designated departments, analyzing clinical data...SuggestedFull timeMonday to Friday
- Endeavor Health is seeking a Quality Review Specialist in Evanston, IL. The role involves coordinating the medical staff peer review process, analyzing clinical data, and ensuring compliance with medical standards. The ideal candidate must hold a Bachelor's degree in a...Suggested
- NorthShore University HealthSystem in Evanston, IL is seeking a dedicated Quality Review Specialist. This role involves coordinating peer review processes, ensuring compliance with healthcare standards, and facilitating quality improvement initiatives. Ideal candidates...
- NorthShore University HealthSystem is seeking a Quality Review Specialist to coordinate medical staff peer review processes. This role involves analyzing clinical data and ensuring the compliance of peer review activities. Candidates must hold at least a Bachelor's degree...
- American Geriatrics Society is seeking a Quality Review Specialist based in Glenview, IL. This role involves coordinating medical staff peer review processes, analyzing clinical data, and ensuring compliance with healthcare standards. The ideal candidate will have a Bachelor...
- Edward Elmhurst Health is seeking a full-time Quality Review Specialist located in Glenview, IL. This role involves coordinating the medical staff peer review process, analyzing clinical data, and ensuring compliance with various standards. The ideal candidate will possess...Full time
$72k - $88k
...may be before or after the 3-day posting window. Job Description Quality Specialist II This is a remote position that requires 50-70% travel. As a Quality Specialist, you will be responsible for reviewing and improving the quality of Invenergy's site operations. Your mission...Work experience placementRemote work$20.19 - $31.8 per hour
...depending on the circumstances of each case. Summary The Quality Assurance (QA) Specialist is responsible for performing quality monitoring to... ...internal and external quality reports for management staff to review - High dollar accounts; Aged accounts; Guarantor change account...Hourly payFull timeLocal areaRemote workFlexible hoursShift work$58k - $65k
...Tina Ruiz Email ****@*****.*** Position Title Quality Improvement Specialist II, III Department Management and General Reports to... ...Academy only). Develops and manages plans for COA/AdvancEd review preparations and maintenance. Consults and advises UCAN programs...Contract workTemporary workWork experience placementWork at officeFlexible hours$65.52k - $107.12k
...Quality Assurance & Education Specialist Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers... ...maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions. In addition to...Hourly payFull timePart timeFlexible hours$76.44k
...Duties: • Develop, implement, and maintain the project-specific Quality Assurance Surveillance Plan (QASP) in compliance with Federal... ...Follow-Up) with project stakeholders and subcontractors. • Review and approve submittals, shop drawings, and materials to verify...Contract workFor contractorsFor subcontractorH1bImmediate startFlexible hours$65.52k - $107.12k
...Report. Location 680 Lake Shore Drive Job Description The Quality Assurance & Education Specialist is responsible for conducting performance audits,... ...and maximum targets for the position and is regularly reviewed to stay aligned with market conditions. In addition to...Hourly payFull timePart timeFlexible hours$90k - $112k
...0,000.00 - $112,000.00 Your Role The Senior QHSE Specialist is responsible for supporting and deploying Quality, Health, Safety, and Environment (QHSE) objectives... ...performance. Support Business Development by reviewing RFIs, RFPs, and SOWs to assess QHSE risks and develop...- JPMorganChase is seeking a Quality Control Specialist within Deal Setup Quality Control in Chicago. You will perform daily quality control reviews across deal setup activities to ensure accuracy, timeliness, and adherence to procedures, partnering with internal stakeholders...
- Coding Quality Auditor and Specialist, HB Coding, Full-time, Days (Remote) At Northwestern Medicine, every patient interaction makes a difference in... ...and complex projects including risk adjustment, mortality review, hospital acquired conditions (HAC) and patient safety...Remote jobFull timeLocal areaRelocation package
- ...Join a team that helps deliver consistent, high-quality execution across lending deal setup. You will help... ...times, and strengthen controls through detailed review and partnership. Job Summary As a Quality Control Specialist in Deal Setup Quality Control , you perform...Work experience placement
$28.24 - $40.21 per hour
R1 RCM is seeking an Outpatient Coding Quality Associate in Chicago, IL, responsible for ensuring the accuracy of outpatient coding. The successful candidate will review records, identify errors, and maintain compliance with government and payer guidelines. The role requires...Hourly pay- Grifols Shared Services North America, Inc is seeking a Quality Systems Associate based in Maywood, IL. The associate will perform quality... ...with regulations. Key responsibilities include documentation reviews, quality control, and training of employees while adhering to...
$65.52k - $107.12k
## Quality and Education Specialist- Central Access Scheduling-3Applylocations: Streeterville, Chicago, ILtime type: Full timeposted on: Posted Todayjob... ...maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions. In addition to...Hourly payFull timePart time$22.44 - $30.36 per hour
...Quality Systems Associate Under the direct supervision of the Quality Systems Manager, perform quality assurance and training functions... ...and protocol. Primary Responsibilities Completes weekly review of equipment QC and maintenance records. Documents, investigates...Hourly payWork at officeFlexible hours$60k
...better patient outcomes. This is precision cardiology, and we know it’s within reach. What Will You Do? The Overview The Quality Specialist is responsible for supporting production activities, including Quality Control activities for components and suppliers, and in...Temporary workWork experience placementWork at officeFlexible hours- Midland Manufacturing, LLC is seeking a Quality Technician in Skokie, IL, responsible for ensuring product quality through inspections, documentation, and collaboration across departments. This role requires a High School Diploma or GED, technical certification is preferred...
- ...of customer installation projects. Inspection includes physical installation of telecommunication and transport equipment. Review and report quality of all Engineering Specifications & Installation packages to ensure that they are consistent with and meet all...Work at officeImmediate startWeekend work
$42 - $44 per hour
...NCQA technical specifications and regulatory requirements. The role is responsible for reviewing medical records, auditing EMR and supplemental data sources, validating healthcare quality data, and supporting HEDIS reporting activities. This position plays a critical role...Hourly payContract workWork at officeMonday to Friday- ...clinical data set tied to technical specifications; auditing and review of electronic clinical records to ensure data accurately... ...audit formal audit environment. • Understanding of NCQA HEDIS quality measures and related code value sets. • Experience in HEDIS value...Contract work
$56k - $62k
Dynamic Workforce Solutions is seeking a Quality Performance Trainer in Chicago, Illinois. In this full-time role, you will leverage statistical... ...and training. Your responsibilities include conducting quality reviews, preparing monitoring documents, and implementing training...Full timeContract work- Job Description Come join the Quality team and be a driving force in ensuring procedures that are tied to compliance and governmental... ...expertise in quality control will be crucial in conducting thorough reviews, ensuring adherence to our operating procedures, and...Temporary work
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