Nurse Reviewer Maternal Health

Job Title: Clinical Reviewer – Nurse (RN) Maternal Health Position Type: Full-Time, 1-Year Contract (40 Hours/Week) Schedule: Monday – Friday, 40 hours per week (Flexible shifts between 7:30 AM – 5:30 PM) Job Overview We are seeking a detail-oriented Registered Nurse (RN) with a strong clinical background and exceptional written communication skills to join our Maternal Child Health Programs team as a Clinical Reviewer . In this role, you will perform complex clinical record reviews for high-impact healthcare quality and compliance initiatives. You will synthesize medical records, interview transcripts, and clinical data to produce objective, high-quality written summaries for review boards, New York State (NYS) regulatory agencies, and the Centers for Medicare & Medicaid Services (CMS). Key Responsibilities & Core Projects 1. Maternal Mortality Project Conduct comprehensive clinical evaluations of cases involving maternal mortality tracked by CMS and NYS. Review all clinical documentation, medical records, and phone interview transcripts (conducted by staff) with patients' families and loved ones. Prepare clear, objective, and detailed written clinical summaries for evaluation by the state review board. Manage an annual volume of approximately 50 cases per year, ensuring thorough and complete evaluations. 2. Office-Based Surgical Incident Reviews Review case documentation involving unexpected office-based surgical incidents across various outpatient settings. Perform high-priority, timely case reviews and draft clinical findings to submit directly to the Department of Health (DOH). 3. Additional Duties Analyze data and medical records to evaluate compliance with relevant healthcare regulations and clinical guidelines. Draft, edit, and finalize objective clinical review reports using standardized tools, shared platforms, and internal databases. Attend regular team meetings and collaborative reviews to ensure project alignment and quality standards. Qualifications & Requirements Education & Credentials Licensure: Active Registered Professional Nurse (RN) license in New York State (NYS) in good standing. Education: Bachelor’s Degree in Nursing (BSN) OR graduate of an approved Registered Professional Nurse training program. Experience & Clinical Background Clinical Experience: Strong clinical background in Maternal Health, NICU, ICU, Emergency Medicine, or Inpatient Generalist care . Chart Review Experience: Preferred experience in chart review, medical record evaluation, Quality Improvement (QI), or Utilization Review (UR). Objective Analysis: Demonstrated ability to examine complex facts objectively, maintain professional objectivity, and navigate emotionally sensitive cases. Skills & Competencies Communication Skills: Excellent written communication and report-writing skills (ability to translate complex medical data into clear, concise written summaries for review boards). Technical Skills: Proficient in standard office software and tools (Microsoft Word, Excel, Teams, and specialized databases). Self-Direction: Strong organizational skills and the ability to work independently while balancing multiple case reviews.