Clinical Reviewer RN - Ophthalmology / Ambulatory Surgery (Remote)

Preoperative Clinical Review RN A specialized outpatient surgical facility in Fairfax, Virginia, dedicated to providing high-quality ophthalmic surgical care. The center offers procedures including cataract surgery, corneal transplants, and glaucoma treatments in a patient-focused environment equipped with advanced medical technology and supported by an experienced team of healthcare professionals. Reviews preoperative History & Physicals (H&Ps) and related patient records using NVESC-approved criteria to identify missing, incomplete, inconsistent, abnormal, or clinically significant information requiring follow-up or escalation before the scheduled procedure. Reports to: Clinical Director Duties and Responsibilities Philosophy:

• Supports the facility's mission, goals, and objectives.
• Performs duties in accordance with facility policies, procedures, and approved H&P review criteria.
• Follows ethical standards and maintains professional conduct.
• Functions as a professional team member and communicates respectfully with NVESC staff and providers.
• Respects patient rights, privacy, dignity, and confidentiality.

Communication:

• Communicates clearly, objectively, and professionally with the Clinical Director, charge nurse, anesthesia personnel, surgeons, and designated staff.
• Reports unresolved documentation deficiencies and clinical concerns promptly through the approved workflow.
• Asks for clarification when information is unclear rather than making assumptions.

Safety / Risk-Management Program:

• Follows facility safety, privacy, documentation, and clinical-review policies.
• Recognizes findings that require escalation according to NVESC criteria.
• Reports suspected documentation errors, safety concerns, or significant changes in patient condition to the appropriate licensed clinician.
• Does not independently provide medical clearance, diagnose conditions, prescribe treatment, change provider orders, or make final anesthesia/surgical decisions.

Professional Competence:

• Participates in orientation, competency validation, continuing education, and annual review.
• Maintains current knowledge relevant to preoperative assessment, common medical conditions, medications, and ambulatory ophthalmic surgery.
• Demonstrates consistent use of NVESC criteria and escalation pathways.
• Accepts coaching and incorporates feedback into future reviews.

Duties:

• Reviews H&Ps for completeness, date/timeliness, provider signature/authentication, and required elements.
• Verifies patient identity, scheduled procedure, allergies, medications, medical history, and relevant documentation for consistency.
• Reviews pertinent medical history for conditions or changes requiring additional information or escalation.
• Reviews available laboratory results, diagnostic studies, cardiac testing, specialty clearances, and supporting documents when required.
• Identifies missing, outdated, unsigned, incomplete, conflicting, or unclear documentation.
• Identifies findings that meet established criteria for escalation to the Clinical Director, charge nurse, anesthesia provider, surgeon, or other designated clinician.
• Documents findings clearly and objectively using the approved NVESC workflow.
• Maintains an organized work queue and completes reviews within established turnaround expectations.
• Re-reviews charts when additional documentation or corrected information is received.
• Communicates unresolved chart deficiencies promptly and tracks follow-up to completion.
• Uses only approved review criteria and escalates findings outside those criteria rather than independently resolving them.

Responsibility for Assets:

• Responsible for accurate handling of electronic patient records and review documentation.
• Uses assigned technology, systems, and facility resources appropriately.
• Protects confidential patient and facility information in accordance with NVESC policy.

Qualifications:

• Cooperative, professional work attitude toward coworkers, management, physicians, and other clinical personnel.
• Strong clinical judgment within the defined review role and ability to recognize when escalation is required.
• Excellent written and verbal English communication skills.
• Ability to work independently while following standardized criteria and workflow.
• Ability to organize priorities, solve routine documentation issues, and meet review deadlines.

Required:

• Graduate of an accredited professional nursing program.
• Current, unrestricted Registered Nurse license applicable to the work performed.
• At least two years of clinical nursing experience preferred.
• Working knowledge of common chronic medical conditions, medications, allergies, laboratory and diagnostic findings relevant to preoperative review.
• Strong computer skills and familiarity with electronic medical records.
• Ability to maintain confidentiality and follow all NVESC Privacy and information security requirements.

Preferred:

• Perioperative, ambulatory surgery, preoperative assessment, PACU, medical-surgical, utilization review, or clinical chart-review experience.
• Ophthalmology or ambulatory surgery center experience.
• Experience with SIS or a comparable electronic medical record.

Job Quality Requirements: Accuracy, Exceptional attention to detail, Timeliness, Organization, Consistent application of facility criteria, Clear and objective documentation, Appropriate escalation with minimal supervision after competency validation Schedule: Night Shift Setup: Remote Why Join STAFFVIRTUAL? Competitive compensation and benefits package Company-provided work setup (laptop, monitor, accessories) Training, career growth, and global exposure A collaborative and supportive team culture If you're a motivated, client-focused professional who's ready to grow with a company that values people and performance, we'd love to hear from you. Apply now and join our dynamic team at STAFFVIRTUAL! STAFFVIRTUAL