- Coordinate and facilitate peer review in accordance with bylaws, policies, and accreditation standards.
- Facilitate preparation of peer review committee meetings and associate materials with clinical leadership, legal and compliance.
- Screen, review, and prepare cases for committee review.
- Partner with physician and APP reviewers to ensure objective, equitable, and consistent evaluation of clinical care.
- Track, document, and report peer review outcomes, ensuring timely feedback, education, and follow-up.
- Safeguard the confidentiality of peer review activities and records.
- Conduct routine and targeted clinical audits to evaluate compliance with standards, guidelines, and regulations.
- Analyze data on outcomes, adverse events, complications, and provider performance.
- Identify trends, risks, and opportunities for system or process improvement.
- Develop and present clear audit reports to Quality, Risk Management, and leadership committees.
- Ongoing Professional Practice Evaluation (OPPE/FPPE)
- Collect, analyze, and report provider performance data to support credentialing and privileging decisions.
- Collaborate with service chiefs, committees, and medical staff services to evaluate practitioner competence and professionalism.
- Track and monitor key indicators such as complications, readmissions, complaints, and regulatory triggers.
- Assist with dashboards, performance reports, and improvement strategies based on OPPE/FPPE findings.
- Participate in RCAs for sentinel events, near misses, and high-risk occurrences.
- Collaborate with interdisciplinary teams to identify contributing factors and system vulnerabilities.
- Support corrective action plan development, monitoring, and evaluation.
- Partner with providers, nurses, and leadership to design and implement QI projects informed by peer review, audits, and RCAs.
- Apply evidence-based practices and improvement methodologies (PDSA, Lean, Six Sigma) to drive measurable change.
- Provide education and coaching on QI methods to staff and providers.
- Act as a liaison across nursing, providers, quality, and leadership teams to align review and evaluation processes.
- Prepare and deliver reports, dashboards, and presentations on peer review, OPPE/FPPE, audits, and improvement initiatives.
- Promote a culture of accountability, professionalism, and high reliability.
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Job Peer Review Nurse - Austin - Central Health
Description
Peer Review Nurse
The Peer Review Nurse advances patient safety, quality of care, and professional accountability by coordinating peer review, supporting Ongoing Professional Practice Evaluation (OPPE/FPPE), conducting clinical audits, and participating in Root Cause Analyses (RCAs). This role serves as a key liaison among providers, compliance, nursing, quality, and leadership, ensuring that findings from reviews and audits translate into sustainable improvements in clinical practice, patient outcomes, and systems of care.
*** This position is located in Austin, Texas, To be considered for this role, you must reside in the greater Austin area. ***
Responsibilities
Essential Functions:
Peer Review:
Clinical Auditing:
Root Cause Analyses (RCAs) & Quality Improvement:
Collaboration & Education:
Qualifications
QUALIFICATIONS:
Education:
Bachelor's Degree (higher degree accepted) In Nursing - BSN - Required
Work Experience:
3-5 years of clinical nursing experience. - Required
Experience in quality management, peer review, provider performance evaluation, or patient safety - Preferred
Licenses and Certifications:
Unrestricted Registered Nurse (RN) License in the State of Texas Upon Hire - Required
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Peer Review Nurse
Only for registered members Austin, Texas, United States
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Clinical Review Nurse
Only for registered members Austin
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RN, Clinical Review Nurse
Only for registered members Austin
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Registered Nurse Utilization Review
Only for registered members Austin
-
Registered Nurse Utilization Review
Only for registered members Austin
-
Registered Nurse Utilization Review
Only for registered members Austin
-
Registered Nurse Manager Utilization Review
Only for registered members Austin
-
Prior Authorization/Concurrent Review Nurse RN
Only for registered members Austin
-
Registered Nurse Utilization Review
Only for registered members Austin, TX
-
Prior Authorization/Concurrent Review Nurse RN
Only for registered members Austin
-
Prior Authorization/Concurrent Review Nurse RN
Full time Only for registered members Austin
-
Prior Authorization/Concurrent Review Nurse RN
Only for registered members Austin, TX
-
Registered Nurse Manager Utilization Review
Only for registered members Austin, TX
-
utilization review nurse
Only for registered members Austin, TX
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utilization review nurse
OTHER Only for registered members Austin
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Registered Nurse
Essex Center- Austin
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Registered Nurse
Ontario Center- Austin
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Travel CVOR Registered Nurse - 1,505 per week
Skyline Med Staff Nursing- Austin
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Travel RN Case Manager
Freelance GQR Healthcare- Austin
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Travel Cath Lab RN - 2,012 per week
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