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Job Description
Quality Review Specialist NorthShore University HealthSystem paid time off, tuition reimbursement United States, Illinois, Highland Park Jun 26, 2026
Hourly Pay Range:
$38.67 - $59.94 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.
Position Highlights:
Position:
Quality Review Specialist
Location:
Evanston, IL
Full Time:
40 hours/week
Hours:
Monday-Friday, 8:00a-5:00p What you will do: Coordinate the medical staff peer review process for designated Entity departments and system service line(s). Prepare peer review case summaries and ensure appropriate case routing to physician reviewers or committees.
Collect, review, and analyze clinical data and documentation related to potential peer review cases.
Facilitate peer review committee meetings including agenda, minutes, and key follow ups in collaboration with Medical Staff Department Chair(s).
Prepare Executive, Board level reports including practice trends, improvement activities, and adjudication activities of the peer review/quality committees
Collaborate with Medical Staff Leadership to develop relevant, specialty specific rate, rule, and peer review indicators
Support and facilitate ongoing professional practice evaluation (OPPE) and focused professional practice evaluation (FPPE) per policy
Ensure compliance with The Joint Commission (TJC), CMS, and hospital policies regarding Medical Staff peer review, OPPE, FPPE, and quality. Support for accreditation activities including Medical Staff standards compliance and survey ready mindset
Key content expert for physician orientation, education on peer review processes, principles of just culture, and quality improvement. Provides guidance and education for other key stakeholders as well.
Work closely with the Medical Staff Office to support credentialing and reappointment processes with OPPE, peer review outcomes.
Support nursing peer review practice, indicator development, data trending, and improvement
Quality of care, outcome clinical reviews (e.g. Patient Safety Indicators, QIO, etc.) includes data trending and performance opportunities
Other quality initiatives and projects as assigned What you will need: Minimum Education Level
REQUIRED
Bachelor's degree in a clinically focused area (e.g., Nursing, Occupational Therapy, Physical Therapy, Pharmacy, Health Information Technology, or other healthcare-related field).
PREFERRED
Master's degree clinically focused area (e.g., Nursing, Occupational Therapy, Physical Therapy, Pharmacy, Health Information Technology, or other healthcare-related field). Minimum Licensure Requirements
REQUIRED
Registered Nurse (RN) licensure in State of Illinois or other relevant clinical license in the State of Illinois Minimum Certification Requirements Certified Professional in Healthcare Quality (CPHQ), preferred Minimum Work Experience 5 - 7 years of clinical experience Benefits (for full and part time positions): Premium pay for eligible employees
Career Pathways to Promote Professional Growth and Development
Various Medical, Dental, and Vision options
Tuition Reimbursement
Free Parking at designated locations
Wellness Program Savings Plan
Health Savings Account Options
Retirement Options with Company Match
Paid Time Off
Community Involvement Opportunities Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org. When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential. Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best". Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information. Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.
EOE:
Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
