Clinical Nurse Reviewer

DHRM • Richmond, VA

2d • Remote

About The Position

The Department of Behavioral Health and Developmental Services (DBHDS) is hiring two experienced MRC Case Clinical Nurse Reviewers. The role reviews documents concerning individuals with intellectual or developmental disabilities (IDD) who received a licensed DBHDS service within 90 days of their death, and develops succinct mortality case summaries within required deadlines.

Documents reviewed 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 leading to death and relevant factors that may have contributed to the individual’s care, including patterns, trends, and variations. The reviewer collaborates with interdisciplinary teams on system-wide patient safety outcomes involving behavioral health, developmental services, and physical health care, and may assist with quality improvement activities.

Requirements

• Experience in a medical, psychiatric, or behavioral health clinical setting.
• Knowledge of treatments for medical disorders that affect 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 needs, including community-based, inpatient, and long-term care services and supports.
• Ability to work independently and as a team member, including when needs change in a complex environment.
• Proficiency with medical management guidelines, terminology, and disease processes.
• Ability to review and assess medical records and related documents accurately and identify discrepancies, issues, and information gaps.
• Strong analytical, critical-thinking, organizational, lateral-thinking, decision-making, and time-management skills.
• Excellent oral and written communication skills.
• Ability to prioritize multiple simultaneous tasks while maintaining 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.
• Knowledge of the continuum of services and supports for behavioral health and substance abuse treatment needs, including community-based, inpatient, and long-term care services and supports.

Responsibilities

• Review documents concerning IDD individuals who received a licensed DBHDS service within 90 days of 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, variations, discrepancies, issues, and information gaps in case documentation.
• Collaborate with interdisciplinary teams to achieve system-wide patient safety outcomes related to behavioral health, developmental services, and physical health care.
• Assist with the development of quality improvement activities as needed.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed