Quality Review Specialist

Responsibilities

• Coordinate the peer review process for medical staff and system service lines, including preparing case summaries and routing cases appropriately.
• Collect, review, and analyze clinical data related to peer review cases.
• Facilitate peer review committee meetings, including managing agendas, minutes, and follow-ups.
• Prepare reports for executive and board-level review on practice trends and quality activities.
• Collaborate with Medical Staff Leadership to develop review indicators and support ongoing practice evaluations (OPPE, FPPE).
• Ensure compliance with accreditation standards and policies (TJC, CMS).
• Provide education on peer review processes, just culture principles, and quality improvement to physicians and stakeholders.
• Support credentialing, reappointment, nursing peer review, and clinical quality initiatives.

Qualifications & Skills

• Minimum of a Bachelor's degree in a healthcare-related field; Master's preferred.
• Registered Nurse licensure in Illinois or relevant clinical license.
• 5-7 years of clinical experience.
• Preferred: Certified in Healthcare Quality (CPHQ).
• Strong analytical, communication, and collaboration skills.