RN Utilization Review Full-time
Montage Health

Peer Review and Professional Practice Evaluation Coordinator (RN)

Montage Health Monterey, CA 93940, US
$73.91 - $98.85 / hour

Welcome to Montage Health’s application process!

Job Description:

The Peer Review and Professional Practice Evaluation Coordinator is responsible for coordinating and supporting the hospital’s physician peer review, Ongoing Professional Practice Evaluation (OPPE), and Focused Professional Practice Evaluation (FPPE) processes for credentialed and privileged providers. This role ensures provider performance evaluation activities are conducted in a timely, consistent, confidential, and compliant manner in accordance with Medical Staff Bylaws, applicable policies, The Joint Commission standards, CMS Conditions of Participation, and state regulatory requirements.

This position facilitates the professional practice evaluation lifecycle by reviewing and summarizing clinical information, coordinating peer review activities, tracking OPPE and FPPE requirements, preparing reports for medical staff leaders and committees, and maintaining accurate documentation in credentialing, privileging, quality, and peer review systems. The Coordinator works collaboratively with medical staff leadership, department chairs, peer reviewers, Quality, Risk Management, Medical Staff Services, and other stakeholders to support patient safety, quality improvement, and regulatory readiness.

This position reports directly to the Manager of Medical Staff Services and works in close collaboration with the Director of Quality on physician performance evaluation, peer review, patient safety, and quality improvement initiatives.

This position requires onsite presence for a minimum of one week per month. Onsite requirements are subject to change based on organizational, departmental, operational, regulatory, or patient care needs.

Principal Accountabilities

·        Coordinates physician peer review activities, including case intake, tracking, committee preparation, follow-up, and documentation.

·        Reviews, analyzes, and summarizes medical records and clinical events for use in the peer review and professional practice evaluation process.

·        Assists in the development, implementation, and ongoing evaluation of meaningful OPPE metrics and reports to support the assessment of provider competence and the delivery of safe, high-quality patient care.

·        Prepares and maintains OPPE and FPPE reports, provider quality profiles, dashboards, tracking logs, and summary documents for medical staff leaders and committees.

·        Coordinates peer review committee meetings by preparing agendas, compiling case materials, documenting committee findings and recommendations, distributing follow-up communications, and tracking assigned action items.

·        Maintains timely and accurate entry of peer review, OPPE, and FPPE data in credentialing, privileging, quality, or peer review software systems.

·        Maintains current knowledge of Medical Staff Bylaws, Rules and Regulations, policies, The Joint Commission standards, CMS requirements, and other applicable state and federal regulations related to peer review and professional practice evaluation.

·        Collaborates with department chairs, medical staff leaders, Quality, Risk Management, Information Technology, and Medical Staff Services to collect, validate, analyze, interpret, and report provider performance data.

·        Tracks cases referred for peer review from quality reports, patient complaints, clinical indicators, adverse events, department referrals, or other approved sources.

·        Analyzes provider performance data and identifies trends, patterns, opportunities for improvement, and potential concerns requiring further review.

·        Supports organizational readiness for accreditation surveys and regulatory reviews by maintaining complete, accurate, and readily retrievable peer review and professional practice evaluation documentation.

·        Provides education, guidance, and support to providers, medical staff leaders, and internal stakeholders regarding OPPE, FPPE, and peer review processes.

·        Supports policy and procedure development related to professional practice evaluation and contributes to ongoing process improvement.

·        Strong written and verbal communication skills, including the ability to prepare clear summaries, reports, minutes, and committee materials.

·        Adheres to all organizational policies, procedures, safety standards, privacy requirements, and confidentiality expectations.

·        Completes required training, in-services, continuing education, and competencies within established timeframes.

·        Maintains professional communication and collaboration with providers, leaders, colleagues, and interdisciplinary partners.

·        Supports a culture of quality, patient safety, accountability, and continuous improvement.

·        Performs other related duties as assigned.

 

Knowledge, Skills, and Abilities

  • Demonstrated ability to maintain confidentiality and discretion regarding sensitive provider performance and peer review information.
  • Strong analytical skills with the ability to identify trends, documentation gaps, and opportunities for process improvement.
  • Excellent written and verbal communication skills.
  • Strong organizational, project management, and time-management skills.
  • Ability to prioritize multiple competing deadlines.
  • Ability to work independently and collaboratively with interdisciplinary teams.

Additional Preferred Experience

  • Experience supporting Medical Staff Services, credentialing, privileging, physician peer review, or healthcare quality.
  • Experience with OPPE/FPPE program administration.
  • Experience using credentialing, quality management, or peer review software.
  • Knowledge of accreditation standards, including The Joint Commission and CMS Conditions of Participation.

Education

Bachelor's degree in Nursing (BSN) preferred. Associate degree in Nursing with relevant experience may be considered.

Licenses and Certifications:

Current, active, and unrestricted California Registered Nurse license required.

Equal Opportunity Employer

#LI-AC1

Assigned Work Hours:

Full time

Position Type:

Regular

Pay Range (based on years of applicable experience):

$73.91

to

$98.85

The hours employees work determine when a shift differential is paid.

Hourly Evening Shift Differential: $5.50

Hourly Night Shift Differential: $8.00

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

RN Full-time
Watsonville Post Acute Center

Registered Nurse RN

Watsonville Post Acute Center Watsonville, CA
$55 - $65 / year
Position Summary The purpose of your job position is to provide each resident with routine daily nursing care in accordance with current federal, state, and local standards that govern the facility and as directed by your supervisors. ESSENTIAL DUTIES AND RESPONSIBILITIES Assessment and development of resident care plans Ensuring that all nursing care is provided in privacy Checking vital signs Dressing wounds Passing out medications Assisting with admissions Making rounds with physicians Starting IVs Listening to residents and their families Addressing questions/concerns of residents Performing accurate and detailed charting of resident progress notes Providing assistance to LVNs and CNAs Ensuring equipment is in good operating order Monitoring residents that are at risk for falls Collecting lab samples Abiding with all facility policies and procedures including not disclosing user ID codes and passwords Following Infection and Control policies Reporting any occupational exposures to blood, body fluids, or other hazardous materials to a supervisor immediately Attending annual facility in-service training programs Completing other assignments when requested by management Every effort has been made to identify the essential functions of this position. However, it in no way states or implies these are the only duties you will be required to perform as directed by management. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. REQUIREMENTS Education / Licensure Nursing Degree from accredited school or college Valid RN license in good standing Valid CPR and BLS card Qualifications / Experience Minimum of 1 year of skilled nursing experience preferred Must be able to speak, read, write and comprehend the English language Ability to use computer or tablet to enter resident data Working Conditions May encounter frequent interruptions May be involved with residents, family and government agencies May be requested to work beyond scheduled working hours at times Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.) May be subjected to odors, dust, disinfectants, tobacco smoking or air contaminants May be exposed to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses May be exposed to or handle hazardous chemicals Physical Requirements Must be able to move intermittently throughout the day Working throughout the nursing areas Must be able to lift up to 25 pounds. Lifting more weight up to 100 pounds requires assistance Ability to read fine print on tablet, progress notes and/or medical labels
RN Full-time
DaVita Kidney Care

Registered Nurse

DaVita Kidney Care Natividad, CA
$45 - $62 / hour
Posting Date 08/06/2026 1441 Constitution Blvd, Salinas, California, 93906-3195, United States of America Make a meaningful impact in acute care nephrology. DaVita is seeking an RN to provide dialysis care in a hospital setting for patients with end-stage renal disease and chronic kidney conditions. This is a fast-paced, highly collaborative role where you’ll work directly with patients in ICU, CCU, ED, and other acute care units. What You’ll Do: Deliver inpatient dialysis therapies, including hemodialysis, peritoneal dialysis, CRRT, and apheresis Collaborate with hospital teams and DaVita clinical staff Monitor patients, adjust treatment, and ensure quality outcomes Support and oversee patient care with the help of PCTs Adapt quickly in a dynamic hospital environment What to Expect: No dialysis experience required—paid training provided Work in a variety of hospital units and rotate between facilities as needed Schedule includes regular and on-call shifts, including weekends and holidays Daily schedules may change based on patient needs Requirements: Current RN license in the state of practice ADN required; BSN preferred ICU, CCU, ER, or Med/Surg experience helpful but not required CNN/CDN certification (preferred) Must pass a color vision test (accommodations available) Full vaccination against COVID-19 may be required by hospitals in this program, which may include a booster when eligible. What We Offer: Medical, dental, vision, 401(k) match Paid time off and PTO cash-out Family support: parental leave, EAP, child/elder care, Headspace, and more Pet insurance Joint Commission–accredited inpatient program Career development and training opportunities Be part of a clinical leader in kidney care. Apply today to deliver critical, life-sustaining care in a hospital setting. #LI-RH2 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. The Wage Range for the role is $45.00 - $62.00 per hour. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.
RN Full-time
Salinas Valley Health

Staff Nurse II

Salinas Valley Health Salinas, CA
$73.62 - $89.49 / hour
It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Department: Endoscopy Please Note: Before applying, candidates should be aware that this position requires 1–3 years of Registered Nurse (RN) experience in Endoscopy within an acute care setting. Works under the supervision of the Director. The Registered Nurse II assesses, plans, implements, evaluates, and supervises individualized care in a patient care area according to departmental policies and procedures and Nurse Practice Act. She/he will individualize patient care based upon the age appropriate and developmental needs and will accept responsibility for the direction of co-workers in the implementation of the plan of care. Collaborates with physicians, patient/families and members of the health care team in delivering a plan of care. Utilizes positive communication skills. May be required to work on other nursing units according to distribution of staff and patients. Should be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his/her unit. Performs other duties as assigned. Primary Duties: Completes nursing assessment of patient, and documents appropriately into patient record. Develops a plan of care based upon the assessment of patient, age appropriate and developmental needs of the patient. Collaborates with physicians and other health team members in developing a plan of care. Provides, delegates, and coordinates the plan of care. Initiates, manages, and participates in discharge planning. Initiates, manages, and participates in patient/family teaching. Demonstrates implementation skills in accordance with Policies and Procedures. Evaluates and updates patient’s response to plan of care. Maintains professional standards by participating in in-services, committees, and performance improvement activities, etc. Facilitates physiological, psychosocial, and spiritual care of the patient. Utilizes positive communication skills to effect conflict resolution and team work. Contributes to cost effective patient care by monitoring use of time, equipment, and supplies. Complies with safety policies and procedures in order to provide a safe environment for employees, patients, and visitors. Demonstrates necessary flexibility in regard to changes in Hospital or unit activities. Should be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her unit. Acts as preceptor and charge nurse as assigned. Actively participate in achieving departmental goals. Performs other duties as assigned. Job Requirements: Education: Associates of Science in nursing (ASN) required, BSN preferred. Licenses: Current California RN license. Current BLS/Healthcare Provider status as per American Heart Association standards required. Experience: Twelve (12) or more months of service as a registered nurse in an acute care setting. Candidates selected for hire will be required to successfully complete a Pharmacology and EKG Test. Pay Range: The hourly rate for this position is $73.62 - $89.49 The range displayed on this job posting reflects the target for new hire salaries for this position. Shift Differentials: Hourly Evening Shift Differential: $3.00 Hourly Night Shift Differential: $6.00 Job Specifications: ● Union: CNA ● Work Shift: Variable ● FTE: 1.0 ● Scheduled Hours: 40 If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
RN Full-time
Salinas Valley Health

Staff Nurse II/III - Surgery

Salinas Valley Health Salinas, CA
$73.62 - $89.49 / hour
It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Department: Surgery Works under the supervision of the Director. The Registered Nurse II assesses, plans, implements, evaluates, and supervises individualized care in a patient care area according to departmental policies and procedures and Nurse Practice Act. She/he will individualize patient care based upon the age appropriate and developmental needs and will accept responsibility for the direction of co-workers in the implementation of the plan of care. Collaborates with physicians, patient/families and members of the health care team in delivering a plan of care. Utilizes positive communication skills. May be required to work on other nursing units according to distribution of staff and patients. Should be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his/her unit. Performs other duties as assigned. Primary Duties: Completes nursing assessment of patient, and documents appropriately into patient record. Develops a plan of care based upon the assessment of patient, age appropriate and developmental needs of the patient. Collaborates with physicians and other health team members in developing a plan of care. Provides, delegates, and coordinates the plan of care. Initiates, manages, and participates in discharge planning. Initiates, manages, and participates in patient/family teaching. Demonstrates implementation skills in accordance with Policies and Procedures. Evaluates and updates patient’s response to plan of care. Maintains professional standards by participating in in-services, committees, and performance improvement activities, etc. Facilitates physiological, psychosocial, and spiritual care of the patient. Utilizes positive communication skills to effect conflict resolution and team work. Contributes to cost effective patient care by monitoring use of time, equipment, and supplies. Complies with safety policies and procedures in order to provide a safe environment for employees, patients, and visitors. Demonstrates necessary flexibility in regard to changes in Hospital or unit activities. Should be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her unit. Acts as preceptor and charge nurse as assigned. Actively participate in achieving departmental goals. Performs other duties as assigned. Job Requirements: Education: Associates of Science in nursing (ASN) required, BSN preferred. Licenses: Current California RN license. Current BLS/Healthcare Provider status as per American Heart Association standards required. Experience: Twelve (12) or more months of service as a registered nurse in an acute care setting. Candidates selected for hire will be required to successfully complete a Pharmacology and EKG Test. Pay Range: The hourly rate for this position is $73.62 - $89.49 The range displayed on this job posting reflects the target for new hire salaries for this position. Shift Differentials: Hourly Evening Shift Differential: $3.00 Hourly Night Shift Differential: $6.00 Job Specifications: ● Union: CNA ● Work Shift: Variable ● FTE: 1.0 ● Scheduled Hours: 40 If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
RN Telemetry Full-time
Salinas Valley Health

Staff Nurse II/III - Telemetry One Main

Salinas Valley Health Salinas, CA
$73.62 - $89.49 / hour
It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Department: 1M Telemetry Works under the supervision of the Director. The Registered Nurse II assesses, plans, implements, evaluates, and supervises individualized care in a patient care area according to departmental policies and procedures and Nurse Practice Act. She/he will individualize patient care based upon the age appropriate and developmental needs and will accept responsibility for the direction of co-workers in the implementation of the plan of care. Collaborates with physicians, patient/families and members of the health care team in delivering a plan of care. Utilizes positive communication skills. May be required to work on other nursing units according to distribution of staff and patients. Should be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his/her unit. Performs other duties as assigned. Primary Duties: Completes nursing assessment of patient, and documents appropriately into patient record. Develops a plan of care based upon the assessment of patient, age appropriate and developmental needs of the patient. Collaborates with physicians and other health team members in developing a plan of care. Provides, delegates, and coordinates the plan of care. Initiates, manages, and participates in discharge planning. Initiates, manages, and participates in patient/family teaching. Demonstrates implementation skills in accordance with Policies and Procedures. Evaluates and updates patient’s response to plan of care. Maintains professional standards by participating in in-services, committees, and performance improvement activities, etc. Facilitates physiological, psychosocial, and spiritual care of the patient. Utilizes positive communication skills to effect conflict resolution and team work. Contributes to cost effective patient care by monitoring use of time, equipment, and supplies. Complies with safety policies and procedures in order to provide a safe environment for employees, patients, and visitors. Demonstrates necessary flexibility in regard to changes in Hospital or unit activities. Should be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her unit. Acts as preceptor and charge nurse as assigned. Actively participate in achieving departmental goals. Performs other duties as assigned. Job Requirements: Education: Associates of Science in nursing (ASN) required, BSN preferred. Licenses: Current California RN license. Current BLS/Healthcare Provider status as per American Heart Association standards required. Experience: Twelve (12) or more months of service as a registered nurse in an acute care setting. Candidates selected for hire will be required to successfully complete a Pharmacology and EKG Test. Pay Range: The hourly rate for this position is $73.62 - $89.49 The range displayed on this job posting reflects the target for new hire salaries for this position. Shift Differentials: Hourly Evening Shift Differential: $3.00 Hourly Night Shift Differential: $6.00 Job Specifications: ● Union: CNA ● Work Shift: Night Shift ● FTE: 0.9 ● Scheduled Hours: 36 If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!