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Maternal Nurse Reviewer/ Contract

Work from home Full-time role Hiring

Job Description

Job Description Maternal Nurse Reviewer/ Contract - Jericho or Albany, NY (#25288) Location: Jericho or Albany, NY Employment Type: Full-time, Contract Hourly Rate: $50/hr About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. 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 $50/hour Comprehensive Benefits: 2 Weeks Vacation (after 6 months) 6 Major Holidays (after 6 months) 5 Sick Days Health Insurance PTO & Paid Sick Time 401(k) with 3% matching (after 1 year) License Reimbursement (after 1 year) 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, Pediatric/Family Nurse Practitioner, Physician’s Assistant, etc.). Licensure: Active New York State credential (RN, NP, PA, or equivalent) 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. Required qualifications:

  • Active New York State RN, NP, PA licensure
  • 4 years of clinical practice experience
  • 2 years of acute care hospital experience preferred
  • 2 years of experience in quality improvement or utilization review preferred

Desired qualifications:

  • Experience in pediatric/adolescent/reproductive healthcare preferred
  • Knowledge of current disease/care management/coordination trends preferred
  • Analytical and communication skills
  • Proficiency in Microsoft Office applications

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