Clinical Nurse Reviewer
About The Position
The Department of Behavioral Health and Developmental Services is hiring two experienced MRC Case Clinical Nurse Reviewers. The position reviews documentation for individuals with intellectual and developmental disabilities (IDD) who received a licensed DBHDS service within 90 days of their death, and develops concise mortality case summaries within mandated deadlines. Review materials may include medical records, nursing and progress notes, medication records, death certificates, autopsy results, and DBHDS Office of Licensing documents. Reviews examine the sequence of events before death and relevant factors that may have contributed to the individual’s care, including patterns, trends, or variations. The reviewer collaborates with interdisciplinary teams on system-wide patient safety outcomes related to behavioral health, developmental services, and physical health care, and may assist with quality improvement activities. The position is based in telework outside of Richmond.
Requirements
- Experience in a medical, psychiatric, or behavioral health clinical setting.
- Knowledge of treatments related to medical disorders affecting individuals.
- Excellent analytical and organizational abilities, with demonstrated time management and attention to detail.
- Knowledge of the continuum of services and supports for behavioral health and substance abuse treatment, including community-based, inpatient, and long-term care services and supports.
- Ability to work independently and as part of a team in a complex environment where needs may change.
- Proficiency with medical management guidelines, terminology, and disease processes.
- Ability to accurately review and assess medical records and related documents and identify discrepancies, issues, or information gaps.
- Strong critical thinking, lateral thinking, decision-making, and time management skills.
- Excellent oral and written communication skills.
- Ability to prioritize multiple simultaneous tasks while ensuring accuracy, quality thresholds, and deadlines.
- Proficiency with MS Office, web navigation, and virtual meeting tools such as MS Teams, Google Meet, or Zoom.
Nice To Haves
- Current RN license to practice in the Commonwealth of Virginia.
- Experience assisting with quality improvement initiatives.
Responsibilities
- Review documents concerning IDD individuals who received a licensed DBHDS service within 90 days of their death.
- Interpret, analyze, organize, compile, transcribe, and compose succinct mortality case summaries within mandated deadlines and specified timeframes.
- Review medical records, nursing and progress notes, medication records, death certificates, autopsy results, and DBHDS Office of Licensing documents, among other materials.
- Assess the sequence of events leading up to an individual’s death and relevant factors that may have contributed to their care.
- Identify patterns, trends, or variations in case reviews.
- Collaborate with interdisciplinary teams to support system-wide patient safety outcomes related to behavioral health, developmental services, and physical health care.
- May assist with developing quality improvement activities.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
