Maternal Nurse Reviewer (Contract) - Jericho or Albany, NY

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.