Patient Safety and Peer Review Specialist

Billings Clinic•Billings, MT

3d•Onsite

About The Position

The Peer Review Specialist is a position within the Patient Safety Department of Billings Clinic. This role serves as a subject matter expert in peer review systems and coordination, supporting the delivery of the highest quality and safest care while promoting transparency, provider engagement, and system-level learning. The Peer Review Specialist collaborates closely with the Peer Review Chair and Patient Safety team to ensure consistency in peer review referrals and reviews, timeliness of responses, and completion of organizational-level process improvement activities identified through the peer review process. Responsibilities include management of peer review case logistics, facilitation of committee processes, cause analysis activities with strong provider involvement, and alignment of peer review findings with Ongoing Professional Practice Evaluation (OPPE) metrics.

Requirements

4 Year / Bachelors Degree (BSN) in Nursing
Five (5) years of RN experience in a clinical setting.
Experience with peer review processes or formal healthcare leadership preferred.
Experience in patient safety, quality, performance improvement, and/or risk management preferred.
Current Montana state license as Registered Nurse or ability to obtain.
Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered.
Employees that require a licensed or certification must be properly licensed/certified and the licensure/certification must be in good standing.
4 Year / Bachelors Degree (BSN) in Nursing
Five (5) years of experience in a health-related field, preferably with clinical experience.
Experience with peer review processes or formal healthcare leadership preferred.
Experience in patient safety, quality, performance improvement, and/or risk management preferred.
Appropriate licensure/certification must be in good standing.
Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered.
Employees that require a licensed or certification must be properly licensed/certified and the licensure/certification must be in good standing.

Responsibilities

Coordinate all logistics for peer review cases, including intake through entry into RL event reporting system, tracking, reviewer assignments, documentation, and follow-up communications.
Prepare standardized case packets and summaries for Peer Review Committee (PRC) meetings and maintain accurate, confidential case records in peer review systems.
Monitor case volumes, turnaround times, and completion rates; implement process improvements to ensure timely, consistent, and transparent reviews.
Facilitate expedited or external peer review arrangements as needed, in collaboration with Risk Management.
Serve as a resource for providers regarding peer review processes, expectations, and status updates.
Develop and distribute educational materials to support understanding of peer review and related performance improvement activities.
Coordinate feedback loops and integrate lessons learned from peer review into clinical practice.
Track and analyze peer review trends to identify system-level issues and opportunities for improvement.
Partner with Quality, Risk, and other teams to address concerns and implement sustainable solutions.
Support the development and monitoring of OPPE metrics linked to peer review outcomes.
Collaborate with the Patient Safety team in facilitating cause analysis processes where provider involvement is significant and systems opportunities are identified during reviews.
Assist in managing RL event reporting system, specifically the Peer Review module, and coverage into patient safety and RCA modules as needed to support departmental needs.
Support patient safety initiatives by applying knowledge of high reliability organizing (HRO) principles, process improvement, and quality standards.
Participate in short- and long-term departmental planning and policy development.
Maintain competency in organizational, departmental, and external agency standards relevant to job performance.
Support and model behaviors consistent with Billings Clinic’s mission, vision, values, and service expectations.
Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations.
Meets all mandatory organizational and departmental requirements.
Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
Performs all other duties as assigned or as needed to meet the needs of the department/organization.