RN Clinical Reviewer

Job Description

Job Description

RN Clinical Reviewer – Jericho or Albany, NY

Location: Jericho or Albany, NY
Employment Type: Full-time (5 days/week)
Rate: $60/hour

Position Overview:

We are seeking a meticulous Clinical Reviewer Registered Nurse. Working under the direction of the team supervisor, this individual performs 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 role is ideal for an experienced RN with a strong OB/maternal health background and a passion for quality improvement and patient safety.

Why You'll Love Working Here:

• Competitive rate of $60/hour.
• 5 sick days (40 hours), subject to the provisions of the NYS Paid Sick Leave Act.
• Health insurance, subject to plan eligibility requirements.
• Full-time, 5 days per week.
• Valuable experience conducting high-stakes clinical reviews for the NYS Department of Health, enhancing your expertise in quality improvement and maternal health.
• Mission-driven work identifying and analyzing critical events in maternal care and outpatient surgical procedures.

Qualifications:

• Baccalaureate degree in Nursing, or graduate of an approved Registered Professional Nurses training program.
• Current licensure as a registered professional nurse in New York State.
• 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 facility reviewing charts for quality improvement or utilization review, preferred.
• Knowledge of current disease/care management/coordination trends, preferred.
• Must have OB/maternal health background.
• Strong analytical and communication (written and verbal) skills.
• Ability to work independently and in a team environment.
• Ability to prioritize reviews and projects.
• Proficient in 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.
• Develop and draft narrative summaries of clinical reviews in the form(s) required by the NYS Department of Health.
• Track case status in Excel and other databases as required.
• Other activities as needed in response to the changing needs of the department.