Serve as liaison between peer reviewer, provider, facility and/or subscriber. * Coordinate and participates in appeal process as directed by management. * Train or serve as a mentor to team members ...
Serve as liaison between peer reviewer, provider, facility and/or subscriber. * Coordinate and participates in appeal process as directed by management. * Train or serve as a mentor to team members ...
Serve as liaison between peer reviewer, provider, facility and/or subscriber. * Coordinate and participates in appeal process as directed by management. * Train or serve as a mentor to team members ...
Quick apply
Serve as liaison between peer reviewer, provider, facility and/or subscriber. * Coordinate and participates in appeal process as directed by management. * Train or serve as a mentor to team members ...
Peer Recovery Coach
Carroll, IA · On-site
$16.75 - $21.50/hr
As a Peer Support Specialist, you will play a vital role in supporting individuals on their ... NOTE: A review of this position has excluded the marginal functions of the position that are ...
Peer Recovery Coach
Carroll, IA · On-site
$16.75 - $21.50/hr
As a Peer Support Specialist, you will play a vital role in supporting individuals on their ... NOTE: A review of this position has excluded the marginal functions of the position that are ...
Peer Recovery Coach
Carroll, IA · On-site
$16.75 - $21.50/hr
As a Peer Support Specialist, you will play a vital role in supporting individuals on their ... NOTE: A review of this position has excluded the marginal functions of the position that are ...
Peer Recovery Coach
Carroll, IA · On-site
$16.75 - $21.50/hr
As a Peer Support Specialist, you will play a vital role in supporting individuals on their ... NOTE: A review of this position has excluded the marginal functions of the position that are ...
Breastfeeding Peer Counselor
Carroll, IA · On-site
$14.50 - $18.75/hr
A WIC Breastfeeding Peer Counselor is a paraprofessional support person who gives basic ... NOTE: A review of this position has excluded the marginal functions of the position that are ...
Breastfeeding Peer Counselor
Carroll, IA · On-site
$14.50 - $18.75/hr
A WIC Breastfeeding Peer Counselor is a paraprofessional support person who gives basic ... NOTE: A review of this position has excluded the marginal functions of the position that are ...
Breastfeeding Peer Counselor
Carroll, IA · On-site
$14.50 - $18.75/hr
A WIC Breastfeeding Peer Counselor is a paraprofessional support person who gives basic ... NOTE: A review of this position has excluded the marginal functions of the position that are ...
Breastfeeding Peer Counselor
Carroll, IA · On-site
$14.50 - $18.75/hr
A WIC Breastfeeding Peer Counselor is a paraprofessional support person who gives basic ... NOTE: A review of this position has excluded the marginal functions of the position that are ...
Job Summary Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible ... Ability to achieve required performance results on all audits and Inter Rater Reliability (Peer to ...
Job Summary Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible ... Ability to achieve required performance results on all audits and Inter Rater Reliability (Peer to ...
Utilization Review RN
Des Moines, IA · On-site
Carries out hospital programs and principles of utilization review in compliance with hospital policies and external regulatory agencies Peer Review Organization (PRO), Joint Commission, and multiple ...
Utilization Review RN
Des Moines, IA · On-site
Carries out hospital programs and principles of utilization review in compliance with hospital policies and external regulatory agencies Peer Review Organization (PRO), Joint Commission, and multiple ...
Utilization Review RN
Des Moines, IA · On-site
Carries out hospital programs and principles of utilization review in compliance with hospital policies and external regulatory agencies Peer Review Organization (PRO), Joint Commission, and multiple ...
Utilization Review RN
Des Moines, IA · On-site
Carries out hospital programs and principles of utilization review in compliance with hospital policies and external regulatory agencies Peer Review Organization (PRO), Joint Commission, and multiple ...
Utilization Review RN
Des Moines, IA · On-site
Engages the attending physician to advocate and communicate via Peer to Peer Review for discussion with insurance for admission, continued stay or status when required. * Reviews denial letters/faxes ...
Utilization Review RN
Des Moines, IA · On-site
Engages the attending physician to advocate and communicate via Peer to Peer Review for discussion with insurance for admission, continued stay or status when required. * Reviews denial letters/faxes ...
Utilization Review RN
Des Moines, IA · On-site
Carries out hospital programs and principles of utilization review in compliance with hospital policies and external regulatory agencies Peer Review Organization (PRO), Joint Commission, and multiple ...
Utilization Review RN
Des Moines, IA · On-site
Carries out hospital programs and principles of utilization review in compliance with hospital policies and external regulatory agencies Peer Review Organization (PRO), Joint Commission, and multiple ...
Carries out hospital programs and principles of utilization review in compliance with hospital policies and external regulatory agencies Peer Review Organization (PRO), Joint Commission, and multiple ...
Carries out hospital programs and principles of utilization review in compliance with hospital policies and external regulatory agencies Peer Review Organization (PRO), Joint Commission, and multiple ...
Carries out hospital programs and principles of utilization review in compliance with hospital policies and external regulatory agencies Peer Review Organization (PRO), Joint Commission, and multiple ...
Carries out hospital programs and principles of utilization review in compliance with hospital policies and external regulatory agencies Peer Review Organization (PRO), Joint Commission, and multiple ...
Utilization Review RN
Des Moines, IA · On-site
Carries out hospital programs and principles of utilization review in compliance with hospital policies and external regulatory agencies Peer Review Organization (PRO), Joint Commission, and multiple ...
Utilization Review RN
Des Moines, IA · On-site
Carries out hospital programs and principles of utilization review in compliance with hospital policies and external regulatory agencies Peer Review Organization (PRO), Joint Commission, and multiple ...
Clinical Care Reviewer UM
Des Moines, IA · On-site
Clinical Care Reviewer UM vTech can help you avoid the daunting task of writing and posting job ... Peer). Physical Effort/Working Conditions: • Reasonable accommodations may be made to enable ...
Clinical Care Reviewer UM
Des Moines, IA · On-site
Clinical Care Reviewer UM vTech can help you avoid the daunting task of writing and posting job ... Peer). Physical Effort/Working Conditions: • Reasonable accommodations may be made to enable ...
Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for ... Ability to achieve required performance results on all audits and Inter Rater Reliability (Peer to ...
Under the direction of the unit Supervisor, the Clinical Care Reviewer is responsible for ... Ability to achieve required performance results on all audits and Inter Rater Reliability (Peer to ...
Job Title : RN-Quality (Peer Review Specialist) Department: Medical Staff Shift: 1st Shift (8am-4:30pm) Status: 1.0 (40 hours a week) Purpose: Coordinates interdisciplinary peer review activities of ...
Job Title : RN-Quality (Peer Review Specialist) Department: Medical Staff Shift: 1st Shift (8am-4:30pm) Status: 1.0 (40 hours a week) Purpose: Coordinates interdisciplinary peer review activities of ...
Job Title : RN-Quality (Peer Review Specialist) Department: Medical Staff Shift: 1st Shift (8am-4:30pm) Status: 1.0 (40 hours a week) Purpose: Coordinates interdisciplinary peer review activities of ...
Job Title : RN-Quality (Peer Review Specialist) Department: Medical Staff Shift: 1st Shift (8am-4:30pm) Status: 1.0 (40 hours a week) Purpose: Coordinates interdisciplinary peer review activities of ...
Job Title : RN-Quality (Peer Review Specialist) Department: Medical Staff Shift: 1st Shift (8am-4:30pm) Status: 1.0 (40 hours a week) Purpose: Coordinates interdisciplinary peer review activities of ...
Job Title : RN-Quality (Peer Review Specialist) Department: Medical Staff Shift: 1st Shift (8am-4:30pm) Status: 1.0 (40 hours a week) Purpose: Coordinates interdisciplinary peer review activities of ...
RN Quality Coordinator
Des Moines, IA · On-site
Description: POSITION PURPOSE Coordinates interdisciplinary peer review activities of the MercyOne Medical Staffs. Coordinators activities associated with FPPE (Focused Professional Practice ...
RN Quality Coordinator
Des Moines, IA · On-site
Description: POSITION PURPOSE Coordinates interdisciplinary peer review activities of the MercyOne Medical Staffs. Coordinators activities associated with FPPE (Focused Professional Practice ...
Peer Reviewer information
See Iowa salary details
$9.71 - $11.43
0% of jobs
$11.43 - $13.16
1% of jobs
$13.16 - $14.88
11% of jobs
$16.08 is the 25th percentile. Wages below this are outliers.
$14.88 - $16.61
19% of jobs
$16.61 - $18.33
18% of jobs
The median wage is $18.41 / hr.
$18.33 - $20.05
23% of jobs
$20.39 is the 75th percentile. Wages above this are outliers.
$20.05 - $21.78
14% of jobs
$21.78 - $23.50
10% of jobs
$23.50 - $25.23
2% of jobs
$25.23 - $26.95
1% of jobs
$26.95 - $28.67
1% of jobs
$9
$19
$28
How much do peer reviewer jobs pay per hour?
Do peer reviewers get paid?
What are the key skills and qualifications needed to thrive as a peer reviewer?
What is a peer reviewer?
What is the difference between Peer Reviewer vs Journal Editor?
| Aspect | Peer Reviewer | Journal Editor |
|---|---|---|
| Required Credentials | Typically advanced degrees in the field, expertise in the subject area | Advanced degrees, editorial experience, often with additional qualifications in publishing or editing |
| Work Environment | Academic or research institutions, publishing companies, freelance | Academic journals, publishing houses, research organizations |
| Employer & Industry Usage | Used by academic journals, conferences, research institutions | Used by academic journals, publishing companies, scholarly organizations |
| Common Search & Comparison Intent | Understanding roles in peer review process, qualifications needed | Understanding editorial responsibilities, differences from peer review |
Peer Reviewers evaluate submitted research for quality and validity, providing feedback to editors. Journal Editors oversee the entire publication process, make final decisions, and manage peer reviewers. While both roles require expertise in the field, editors have additional responsibilities in managing the publication workflow. Understanding these differences helps clarify career paths and roles within academic publishing.
What are some common challenges faced by peer reviewers, and how can they effectively manage their workload?
How do you become a peer reviewer?

Full-time
Posted 7 days ago
Telligen rating
7.9
Based on 7 frontline employees who took The Breakroom Quiz
35th of 72 rated business consultants
Job description
- Perform prospective, concurrent or retrospective utilization review/medical management for all services including appropriateness of quality of care based on contract, state, or URAC requirements.
- Screen individual situations according to specific criteria to determine if care is appropriate.
- Refer cases that fail to meet screening criteria to peer reviewer.
- 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 between peer reviewer, provider, facility and/or subscriber.
- Coordinate and participates in appeal process as directed by management.
- Train or serve as a mentor to team members and physician reviewers to ensure reviews and appeals are conducted thoroughly and within specified time frames.
- Performs preliminary research on topics such as experimental or cosmetic services, coverage determinations, coding or standards of care.
- Documents review and special project results in workflow documentation system, ensuring data is accurate and timely.
- Assists in compliance reporting.
- Performs miscellaneous duties as assigned.
- Current RN license that is recognized in the relevant jurisdiction(s)or other certification directly relevant to the type of review performed; Ability to obtain required license(s) in state(s) by timeframe set by business not to exceed 6 months
- Current RN license must be unrestricted and if there is a restriction that is allowed by a relevant jurisdiction, according to the Medical Director, it is of the type that does not affect the health professional's ability to fulfill the roles and responsibilities of a reviewer
- Four-year degree in health care or two- or three-year degree in nursing or related field and/or equivalent training and/or experience
- 3 - 5 years recent experience working in a clinical environment
- 5% local and/or overnight travel
- Knowledge of URAC standards
- Oncology experience highly preferred
About Telligen
Sourced by ZipRecruiter
Company size
501 - 1,000 Employees
Headquarters location
West Des Moines, IA, US
Year founded
1972