RN Clinical Reviewer

Job Description

Job Description

RN Clinical Reviewer - Jericho or Albany, NY (#25332)

Location: Jericho orAlbany, NY
Employment Type: Full-time, Temp-to-hire (5 days a week)
Hourly Rate: $60/hr

Position Overview:
We are seeking a meticulous Clinical Reviewer Registered Nurse. This individual will work under the direction of the supervisor of the team performing clinical reviews and abstractions of assigned cases related to a maternal death or to an adverse event that occurred during an outpatient surgical procedure. This temp-to-hire role is ideal for an experienced RN with a strong OB/maternal health background and a passion for quality improvement and patient safety.

Why Join Us?

• Competitive Compensation: Earn a competitive rate of $60 per hour.

• Comprehensive Benefits:

  • 5 Sick Days (40 hours) subject to the provisions of the NYS Paid Sick Leave Act.
  • Health Insurance subject to plan eligibility requirements.
• Work Schedule: Full-time position, 5 days per week, with a temp-to-hire structure.
• Professional Growth: Gain valuable experience conducting high-stakes clinical reviews for the NYS Department of Health, enhancing your expertise in quality improvement and maternal health.
• Impactful Work: Contribute to a mission-driven organization dedicated to improving patient outcomes by identifying and analyzing critical events in maternal care and outpatient surgical procedures.
  

Qualifications:

• Education: Baccalaureate degree in Nursing or graduate of an approved Registered Professional Nurses training program.
• Licensure: Current licensure as a registered professional nurse in New York State.

• Experience:

  • A minimum of four years of clinical practice experience in a facility or community-based setting, including medical, surgical, and/or obstetrical experience.
  • Minimum of two years of acute care hospital experience.
  • Experience in an acute or ambulatory care healthcare facility reviewing charts for the purpose of quality improvement or utilization review, preferred.
  • Knowledgeable of current disease/care management/coordination trends, preferred.
  • Must have OB/maternal health background.

• Skills:

  • Strong analytical and communication (both written and verbal) skills.
  • The ability to work independently, as well as in a team environment.
  • The ability to prioritize reviews and projects to be completed.
  • Proficient in the use of standard office technology and basic Microsoft applications including Word and Excel.
  • Ability to gather and analyze information from records, reports, and other sources.
    

Key Responsibilities:

• Conduct clinical reviews of medical records from a variety of sources as well as other documents crucial to the review as appropriate.
• Develop and draft narrative summaries of clinical reviews performed in the form(s) required by NYS Department of Health (the Department).
• Track case status in Excel and other databases as required by the Department.
• Other activities as may be deemed necessary in response to the changing needs of the department.