Maternal Nurse Reviewer/Contract - Jericho or Albany, NY (#25288)
Location: Jericho or Albany, NY
Employment Type: Full-time, Contract
Hourly Rate: $55/hr
Position Overview:
We are seeking an experienced Maternal Nurse Reviewer to conduct clinical reviews and program monitoring for a respected non-profit organization.
Why Join Us?
- Competitive Compensation: Earn $55/hour
- Comprehensive Benefits:
- Vacation leave
- 6 Major Paid Holidays per year
- 5 Sick Days (40 Hours)
- License Reimbursement after 1 year of employment
- Health Insurance subject to plan eligibility requirements
- 401k Matching eligibility after 1 year of employment
- Benefits from Paychex, such as Payactiv
- GLHS is a great company to work for: 93% retention of employees 2 years+, Google reviews, great company culture, etc
- Work Schedule: Full-time
- Professional Growth: Gain valuable experience in healthcare quality improvement and program monitoring
- Impactful Work: Contribute to maternal health quality initiatives and program improvements
Qualifications:
- Education: Must be qualified and actively credentialed/registered in New York State (e.g., Registered Professional Nurse).
- Licensure: Active New York State credential (RN).
- Experience:
- Must have at least 4 years of clinical practice experience in a facility or community-based setting, including medical, surgical, and/or obstetrical experience. Experience in pediatric/adolescent/ reproductive health care is preferred.
- At least 2 years of acute care hospital experience is preferred.
- At least 2 years of experience reviewing charts for the purpose of quality improvement or utilization review is preferred.
- Knowledge of current disease/care management/coordination trends is preferred
- Technical Skills:
- Must have the ability to work independently, as well as in a team environment, and to prioritize reviews and projects to be completed.
- Must have strong analytical and communication skills (both written and verbal) and the ability to gather and analyze information from records, reports, and other sources.
- Must be proficient in the use of standard office technology and basic Microsoft applications, including Word, Excel, and Teams.
- Must have the ability to travel to on-site review assignments within the metropolitan area (including Westchester and Long Island). Approximately 25 on-site days per year.
Key Responsibilities:
- Conduct clinical reviews of medical records from a variety of sources as well as other documents crucial to the reviews, as appropriate.
- Conduct interviews, observations, and reviews of other program documentation as part of comprehensive program monitoring.
- Develop and draft reports in the form(s) required by the Department.
- Track status of documents and reviews in databases and other shared platforms.
- Provide technical assistance to program personnel, where appropriate.
- Utilize data management tools appropriately to record monitoring findings.