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Peer Review Manager Jobs in Arizona (NOW HIRING)

Dane Street is a national leader in Independent Medical Examinations (IMEs) and peer review ... Respond to clinical queries to support claims management * Deliver detailed IME reports within an ...

Dane Street is a national leader in Independent Medical Examinations (IMEs) and peer review ... Respond to clinical queries to support claims management * Deliver detailed IME reports within an ...

Job Page

Phoenix, AZ · On-site

$70K - $143K/yr

... and peer review requirements, investigating misconduct and taking disciplinary action when ... Management and Supervision: • Direct the operations of the Board's office which oversees the ...

EXECUTIVE DIRECTOR

Phoenix, AZ · On-site

$70K - $143K/yr

... Management BOARD OF ACCOUNTANCY The Arizona State Board of Accountancy protects the public by licensing CPAs and registering CPA firms, overseeing continuing professional education and peer review ...

... peer review, and compliance processes while maintaining the highest standards of confidentiality. Your day-to-day will involve coordinating medical staff committees, managing complex credentialing ...

... peer review, and compliance processes while maintaining the highest standards of confidentiality. Your day-to-day will involve coordinating medical staff committees, managing complex credentialing ...

... peer review, and compliance processes while maintaining the highest standards of confidentiality. Your day-to-day will involve coordinating medical staff committees, managing complex credentialing ...

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Peer Review Manager information

What is a peer review manager?

Peer Review Managers are professionals responsible for overseeing the peer review process of academic journals, conferences, or research publications. They coordinate manuscript submissions, assign reviewers, manage communications between authors and reviewers, and ensure the integrity and timeliness of the review process. Their goal is to maintain high standards of quality and transparency in scholarly publishing. Peer Review Managers often work closely with editors and publishers to implement editorial policies and resolve any conflicts or ethical issues that may arise.

What are the key skills and qualifications needed to thrive as a peer review manager?

A Peer Review Manager typically needs a background in academic publishing or scholarly communications, with strong organizational skills and familiarity with editorial workflows. Proficiency with manuscript management systems (such as Editorial Manager or ScholarOne) and knowledge of peer review best practices are essential, and certifications in project management can be advantageous. Excellent communication, problem-solving, and stakeholder management skills help foster effective collaboration between authors, reviewers, and editors. These competencies are crucial for ensuring an efficient, fair, and high-quality peer review process that upholds the integrity of scholarly publications.

How does a peer review manager typically interact with authors, reviewers, and editorial boards during the publication process?

A Peer Review Manager acts as the central point of communication among authors, reviewers, and the editorial board. They coordinate reviewer assignments, ensure timely responses, and help resolve conflicts or delays. The role requires diplomacy and strong organizational skills, as managers must balance the needs of authors seeking feedback, reviewers' workloads, and editorial standards. Regular updates and clear communication are essential to keep the review process transparent and efficient.

What cities in Arizona are hiring for Peer Review Manager jobs?

Cities in Arizona with the most Peer Review Manager job openings:

Utilization Review Coordinator

Oasis Behavioral Health

Chandler, AZ • On-site

Full-time

This job post has expired today. Applications are no longer accepted.


Job description

Overview

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.

OAS01

Employment Type: FULL_TIME