Clinical Reviewer RN (School Based Programs)

Job Title : Clinical Review RN (school based)

Hours : 40 hours a week between 7 : 30am-5 : 30pm

Background : Must have strong clinical background in maternal health, NICU, OBGYN, L&D, Pediatrics. Must have strong writing skills.

Pay : $50-53 / hr

Location : 90% remote, 10% field (will travel to schools in NYC (5 boroughs), Long Island or Westchester, NY. DO NOT apply if you live out of New York state.

On average, will have 25 site (school) visits over the course of a year (visits are typically 1 day for a couple hours per case and the rest of the time it's remote)

Position Details :

School Based / Family Planning Clinics Reviews (field / remote) :

This program does audits of the school based maternal / child health programs and family planning clinics. They will be working with NYC schools in the 5 boroughs, Long Island, and Westchester. There will be a team that is allocated to review documentation submitted as well as chart reviews.

They are looking for RNs with strong clinical backgrounds (more details below) who have very strong written communication skills. They will be reviewing the documentation, medical records, and more to provide written clinical summaries to boards of review or other governing bodies.

DUTIES :

• Completes all pre-review activities, including review of previous monitoring information, and review of program documentation submitted.
• Completes hybrid monitoring activities, including review of patient records and billing, for all required components and time frames.
• Conducts site observation and staff interviews, and notes any deficiencies.
• Provides technical assistance to program personnel, where appropriate.
• Completes data management tools to draft provider monitoring report in accordance with monitoring findings.
• Tracks status of documents and reviews in databases and other shared platforms.

QUALIFICATIONS :

EDUCATION & EXPERIENCE :