Facilitate peer review calls between facility and external organizations. * Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist the admissions department ...
Facilitate peer review calls between facility and external organizations. * Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist the admissions department ...
... Review Coordinator to coordinate patients' services across the continuum of care by promoting ... Reconsiderations, assists with appeals as needed, arrange peer to peer level reviews, and report ...
... Review Coordinator to coordinate patients' services across the continuum of care by promoting ... Reconsiderations, assists with appeals as needed, arrange peer to peer level reviews, and report ...
... Review Coordinator to coordinate patients' services across the continuum of care by promoting ... Reconsiderations, assists with appeals as needed, arrange peer to peer level reviews, and report ...
... Review Coordinator to coordinate patients' services across the continuum of care by promoting ... Reconsiderations, assists with appeals as needed, arrange peer to peer level reviews, and report ...
COME JOIN OUR TEAM ASUTILIZATION REVIEW COORDINATOR ATRIVER VISTA! PERKS AT WORK Team Members enjoy ... to Peer requests for physicians and CNP. * Provide support to the UM Specialists. Skills
COME JOIN OUR TEAM ASUTILIZATION REVIEW COORDINATOR ATRIVER VISTA! PERKS AT WORK Team Members enjoy ... to Peer requests for physicians and CNP. * Provide support to the UM Specialists. Skills
... Review Coordinator to coordinate patients' services across the continuum of care by promoting ... Reconsiderations, assists with appeals as needed, arrange peer to peer level reviews, and report ...
... Review Coordinator to coordinate patients' services across the continuum of care by promoting ... Reconsiderations, assists with appeals as needed, arrange peer to peer level reviews, and report ...
PI/Peer Review Coordinator - Performance Improvement - Full time 10 hours Days (Non-Union, Exempt)
Arcadia, CA · On-site
Supports or coordinates the following projects as assigned: Core Measures and related inter-rater reliability, reporting and improvement; peer review; mortality review, and other priorities as ...
PI/Peer Review Coordinator - Performance Improvement - Full time 10 hours Days (Non-Union, Exempt)
Arcadia, CA · On-site
Supports or coordinates the following projects as assigned: Core Measures and related inter-rater reliability, reporting and improvement; peer review; mortality review, and other priorities as ...
PI/Peer Review Coordinator - Performance Improvement - Full time 10 hours Days (Non-Union, Exempt)
Arcadia, FL · On-site
Supports or coordinates the following projects as assigned: Core Measures and related inter-rater reliability, reporting and improvement; peer review; mortality review, and other priorities as ...
PI/Peer Review Coordinator - Performance Improvement - Full time 10 hours Days (Non-Union, Exempt)
Arcadia, FL · On-site
Supports or coordinates the following projects as assigned: Core Measures and related inter-rater reliability, reporting and improvement; peer review; mortality review, and other priorities as ...
Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time ... peer-to-peer review input for appeals to support denial resolution. * Monitor denial outcomes ...
Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time ... peer-to-peer review input for appeals to support denial resolution. * Monitor denial outcomes ...
Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time ... peer-to-peer review input for appeals to support denial resolution. * Monitor denial outcomes ...
Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time ... peer-to-peer review input for appeals to support denial resolution. * Monitor denial outcomes ...
Responsibilities Utilization Review Coordinator Opportunity Cumberland Hall Hospital is a 97 bed ... peer reviews. * Ensure compliance with payer, regulatory, and hospital requirements. Benefits for ...
Responsibilities Utilization Review Coordinator Opportunity Cumberland Hall Hospital is a 97 bed ... peer reviews. * Ensure compliance with payer, regulatory, and hospital requirements. Benefits for ...
PI/Peer Review Coordinator - Performance Improvement - Full time 10 hours Days (Non-Union, Exempt)
Arcadia, FL · On-site
Supports or coordinates the following projects as assigned: Core Measures and related inter-rater reliability, reporting and improvement; peer review; mortality review, and other priorities as ...
PI/Peer Review Coordinator - Performance Improvement - Full time 10 hours Days (Non-Union, Exempt)
Arcadia, FL · On-site
Supports or coordinates the following projects as assigned: Core Measures and related inter-rater reliability, reporting and improvement; peer review; mortality review, and other priorities as ...
PI/Peer Review Coordinator - Performance Improvement - Full time 10 hours Days (Non-Union, Exempt)
Arcadia, FL · On-site
Supports or coordinates the following projects as assigned: Core Measures and related inter-rater reliability, reporting and improvement; peer review; mortality review, and other priorities as ...
PI/Peer Review Coordinator - Performance Improvement - Full time 10 hours Days (Non-Union, Exempt)
Arcadia, FL · On-site
Supports or coordinates the following projects as assigned: Core Measures and related inter-rater reliability, reporting and improvement; peer review; mortality review, and other priorities as ...
Responsibilities Utilization Review Coordinator Opportunity Cumberland Hall Hospital is a 97 bed ... peer reviews. * Ensure compliance with payer, regulatory, and hospital requirements. Benefits for ...
Responsibilities Utilization Review Coordinator Opportunity Cumberland Hall Hospital is a 97 bed ... peer reviews. * Ensure compliance with payer, regulatory, and hospital requirements. Benefits for ...
Prepare case summaries and supporting documentation for FPPE, OPPE, and peer review. * Coordinate ... Department Chair & Peer Review Coordination * Prepare performance summaries for Department Chair ...
Prepare case summaries and supporting documentation for FPPE, OPPE, and peer review. * Coordinate ... Department Chair & Peer Review Coordination * Prepare performance summaries for Department Chair ...
In parallel, the RN coordinates peer review activities including screening, reviewing, and preparing cases and facilitating Root Cause Analyses (RCAs) to evaluate clinical performance and identify ...
In parallel, the RN coordinates peer review activities including screening, reviewing, and preparing cases and facilitating Root Cause Analyses (RCAs) to evaluate clinical performance and identify ...
In parallel, the RN coordinates peer review activities including screening, reviewing, and preparing cases and facilitating Root Cause Analyses (RCAs) to evaluate clinical performance and identify ...
In parallel, the RN coordinates peer review activities including screening, reviewing, and preparing cases and facilitating Root Cause Analyses (RCAs) to evaluate clinical performance and identify ...
Prepare case summaries and supporting documentation for FPPE, OPPE, and peer review. * Coordinate ... Department Chair & Peer Review Coordination * Prepare performance summaries for Department Chair ...
Prepare case summaries and supporting documentation for FPPE, OPPE, and peer review. * Coordinate ... Department Chair & Peer Review Coordination * Prepare performance summaries for Department Chair ...
In parallel, the RN coordinates peer review activities including screening, reviewing, and preparing cases and facilitating Root Cause Analyses (RCAs) to evaluate clinical performance and identify ...
In parallel, the RN coordinates peer review activities including screening, reviewing, and preparing cases and facilitating Root Cause Analyses (RCAs) to evaluate clinical performance and identify ...
In parallel, the RN coordinates peer review activities including screening, reviewing, and preparing cases and facilitating Root Cause Analyses (RCAs) to evaluate clinical performance and identify ...
In parallel, the RN coordinates peer review activities including screening, reviewing, and preparing cases and facilitating Root Cause Analyses (RCAs) to evaluate clinical performance and identify ...
Coordinate and participate in peer-to-peer review as warranted. With prior management approval, may deviate from criteria with proper justification to authorize the service. * Serve as liaison ...
Coordinate and participate in peer-to-peer review as warranted. With prior management approval, may deviate from criteria with proper justification to authorize the service. * Serve as liaison ...
Peer Review Coordinator information
See salary details
$27K - $33.8K
4% of jobs
$33.8K - $40.5K
20% of jobs
$40.8K is the 25th percentile. Wages below this are outliers.
$40.5K - $47.3K
18% of jobs
The median wage is $50.9K / yr.
$47.3K - $54.1K
15% of jobs
$54.1K - $60.9K
11% of jobs
$66.3K is the 75th percentile. Wages above this are outliers.
$60.9K - $67.6K
9% of jobs
$67.6K - $74.4K
9% of jobs
$74.4K - $81.2K
4% of jobs
$81.2K - $88K
6% of jobs
$88K - $94.7K
2% of jobs
$94.7K - $101.5K
1% of jobs
$27K
$57.9K
$101.5K
How much do peer review coordinator jobs pay per year?
What are some common challenges faced by peer review coordinators, and how can they be effectively managed?
What are the key skills and qualifications needed to thrive as a peer review coordinator?
What is a peer review coordinator?
What is the difference between Peer Review Coordinator vs Peer Review Specialist?
| Aspect | Peer Review Coordinator | Peer Review Specialist |
|---|---|---|
| Credentials | Bachelor's degree often required; certifications vary | Bachelor's degree; certifications may enhance prospects |
| Work Environment | Healthcare or academic settings, coordinating review processes | Similar settings, focusing on detailed review tasks |
| Job Focus | Oversees review procedures, manages schedules, liaises with reviewers | Performs detailed peer reviews, analyzes data, prepares reports |
The Peer Review Coordinator primarily manages the review process, coordinating schedules and communication, while the Peer Review Specialist focuses on conducting detailed reviews and analyzing data. Both roles often require similar educational backgrounds and work in healthcare or academic environments, but their core responsibilities differ in scope and focus.

Acadia Healthcare rating
6.2
Based on 190 frontline employees who took The Breakroom Quiz
699th of 887 rated healthcare providers
Job description
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility.
Responsibilities
ESSENTIAL FUNCTIONS:
- Act as liaison between managed care organizations and the facility professional clinical staff.
- Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements.
- Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.
- Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.
- Conduct quality reviews for medical necessity and services provided.
- Facilitate peer review calls between facility and external organizations.
- Initiate and complete the formal appeal process for denied admissions or continued stay.
- Assist the admissions department with pre-certifications of care.
- Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.
OTHER FUNCTIONS:
- Perform other functions and tasks as assigned.
Qualifications
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- Required Education: High school diploma or equivalent.
- Preferred Education: Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field.
- Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred
LICENSES/DESIGNATIONS/CERTIFICATIONS:
- Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
- CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.
- First aid may be required based on state or facility requirements.
ADDITIONAL REGULATORY REQUIREMENTS:
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances
(e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
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About Acadia Healthcare
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Acadia Healthcare is a leading provider in the healthcare and hospital industry, based in Franklin, Tennessee, United States. The company is recognised for its commitment to creating a behavioural health network that provides accessible, high-quality treatment options for individuals suffering from mental health issues, addiction, eating disorders, and PTSD. Acadia Healthcare was founded in 2005, with the mission to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioural health and addiction disorders.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Franklin, TN, US
Year founded
2005