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Peer To Peer Nurse Practitioner Jobs (NOW HIRING)

R1

Peer to Peer Nurse Author RN

$65K - $96K/yr

As our Peer-to-Peer Nurse Author , you will help our clients by reviewing cases for which the authorization has been denied and evaluating if the proper documentation was available to support the ...

The Kennedy Collective Inc

Peer to Peer Mentor

Bridgeport, CT · On-site

$17.75 - $23/hr

Description If you are looking to make an impact through a meaningful and rewarding career, we are ... Tuition Reimbursement * Employee Assistance Program About the Role The Peer Mentor supports ...

R1

Payer Peer to Peer Physician Advisor

$150K - $199K/yr

... peer-to-peer cases. Every day. You will review cases for which authorization has been denied ... To thrive in this role, you must have strong clinical knowledge across multiple clinical areas and ...

R1 RCM

Physician Advisor Peer to Peer

Frankfort, KY · On-site

$150K - $199K/yr

... peer-to-peer cases. Every day. You will review cases for which authorization has been denied ... To thrive in this role, you must have strong clinical knowledge across multiple clinical areas and ...

New

webAI

$100 - $125/hr

Our mission is to build a future where local and private is the default, servers and data centers ... Experience with peer to peer or decentralized networking frameworks Why webAI? At webAI we do our ...

R1 RCM

Physician Advisor Peer to Peer

$150K - $199K/yr

... peer-to-peer cases. Every day. You will review cases for which authorization has been denied ... To thrive in this role, you must have strong clinical knowledge across multiple clinical areas and ...

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How much do peer to peer nurse practitioner jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for peer to peer nurse practitioner in the United States is $19.90, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $22.12 per hour, depending on experience, location, and employer.

What is a peer to peer nurse practitioner?

A Peer To Peer Nurse Practitioner is a licensed nurse practitioner who participates in peer-to-peer review processes, often within insurance companies or healthcare organizations. Their role involves reviewing clinical cases, discussing treatment plans, and collaborating with other healthcare providers to ensure appropriate and evidence-based patient care. They may also facilitate communication between providers and payers, particularly during appeals or utilization management cases. This position requires strong clinical knowledge, communication skills, and the ability to evaluate medical necessity based on established guidelines.

What are the key skills and qualifications needed to thrive as a peer to peer nurse practitioner?

To excel as a Peer To Peer Nurse Practitioner, you need advanced clinical expertise, strong medical judgment, and an active nurse practitioner license, often with experience in utilization management or case review. Familiarity with electronic medical record (EMR) systems, clinical guidelines, and utilization review software is typically required. Exceptional communication, negotiation, and critical thinking skills help facilitate effective discussions with fellow healthcare providers. These competencies are vital for ensuring evidence-based, high-quality care decisions and constructive peer interactions in a review setting.

How does a peer to peer nurse practitioner typically collaborate with physicians and insurance providers during the review process?

Peer to Peer Nurse Practitioners regularly engage in direct communication with both physicians and insurance representatives to review and clarify clinical documentation for medical necessity. They facilitate discussions to resolve discrepancies or provide additional context for complex cases, ensuring that patient care aligns with established guidelines. This role requires strong interpersonal skills, as the nurse practitioner often acts as a liaison, balancing advocacy for patient care with adherence to insurance policies. Effective collaboration helps streamline approvals and enhances patient outcomes.

What are popular job titles related to Peer To Peer Nurse Practitioner jobs?

For Peer To Peer Nurse Practitioner jobs, the most frequently searched job titles are:

Infographic showing various Peer To Peer Nurse Practitioner job openings in the United States as of August 2026, with employment types broken down into 24% Full Time, and 76% Part Time. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $41,392 per year, or $19.9 per hour.

Peer to Peer Nurse Author RN

Remote

R1
Health Care and Social Assistance • 10K+ employees
Learn more about R1external

$65K - $96K/yr

Full-time

Re-posted 18 days ago

R1 RCM rating

6.8

Company rating: 6.8 out of 10

Based on 189 frontline employees who took The Breakroom Quiz

138th of 154 rated financial services

Job description

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.
As our Peer-to-Peer Nurse Author, you will help our clients by reviewing cases for which the authorization has been denied and evaluating if the proper documentation was available to support the admission status, procedure, and care setting that was requested. Every day you will advise our clients regarding the appropriateness of the request based on available documentation to ensure proper billing and authorization level; thereby increasing clean claims submission and reducing accounts receivable days. To thrive in this role, you must have strong clinical knowledge across multiple areas and be capable of working independently with a high level of performance in a fast-paced production environment.
Here's what you will experience working as a Peer-to-Peer Nurse Author:
  • Write clinical consultations evaluating the authorization requested, documentation support or lack of support for that authorization, evidence-based criteria for that support, and complex clinical evaluation of the request as a whole
  • Evaluate and interpret multiple types of hospital documentation as it relates to the requested authorization
  • Provide feedback regarding actionable root cause analysis of the specific case to the client hospitals regarding submitted cases
  • Serve as a clinical resource to medical and case management staff by providing analysis of documentation issues and opportunities
  • Provide written analysis of the case and perform case reviews across multiple specialties

Required Skills:
  • Active RN license
  • 1+ year of hospital-based utilization management experience a plus
  • 3+ years of recent acute, hospital-based clinical experience in a medical/surgical unit, emergency department, and/or ICU
For this US-based position, the base pay range is $65,478.00 - $96,885.29 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.
This job is eligible to participate in our annual bonus plan at a target of 10.00%
The healthcare system is always evolving - and it's up to us to use our shared expertise to find new solutions that can keep up. On our growing team you'll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team - including offering a competitive benefits package.
R1 RCM Inc. ("the Company") is dedicated to the fundamentals of equal employment opportunity. The Company's employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.
CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent
To learn more, visit: R1RCM.com
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About R1 RCM

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R1 RCM, Inc., based in Salt Lake City, UT, US, is a leading provider of technology-enabled revenue cycle management services which transform and solve revenue cycle performance challenges across hospitals, health systems, and physician groups. R1’s proven, scalable operational model seamlessly complements a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows. Founded in 2003, the company was initially named Accretive Health. It became R1 RCM in 2017 following a significant commitment by Ascension, the largest non-profit health system in the U.S., to long-term partnerships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Murray, UT, US

Year founded

2003

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