Clinical Nurse Reviewer

Title: Clinical Nurse Reviewer

State Role Title: RN II/Nurse Prct I/Phy Asst

Hiring Range: $70,000-$91,250

Pay Band: 5

Agency: Dept Behavioral Health/Develop

Location: Telework outside of Richmond

Agency Website: www.dbhds.virginia.gov

Recruitment Type: General Public - G

Job Duties

The Department of Behavioral Health and Developmental Services (DBHDS) is seeking two (2) experienced individuals to serve as MRC Case Clinical Nurse Reviewers (CNR). This position focuses on interpreting, analyzing, organizing, compiling, transcribing, and composing succinct mortality case summaries within the mandated deadlines and specified timeframes. This position is responsible for reviewing and developing case summaries from documents submitted for IDD individuals who receive a licensed DBHDS service within 90 days of their death. These may include but are not limited to medical records, nurses and progress notes, medication records, death certificates, autopsy results and DBHDS Office of Licensing documents. Reviews will focus on the sequence of events leading up to the individual’s death and relevant factors that may have contributed to the care of that individual prior to death, to include identification of patterns, trends, or variations. This position collaborates with interdisciplinary teams to achieve system wide patient safety outcomes related to behavioral health, developmental services, and physical health care, and may also assist with development of quality improvement activities.

Minimum Qualifications

• Experience in a medical, psychiatric, or behavioral health clinical setting.
• Knowledge of related treatment for medical disorders that affect individuals.
• Excellent analytical and organizational abilities, with demonstrated time management and attention to detail skills.
• Knowledge of the continuum of services and support necessary to support the behavioral health/substance abuse treatment needs of individuals, including community-based, inpatient, and long-term care services and supports.
• Ability to work independently and as a member of the team, even when needs change in a complex environment.
• Proficient with medical management guidelines, terminology and disease processes.
• Attention to detail to review and assess medical records and relevant documents accurately and identify and discrepancies, issues and/or information gaps.
• Excellent analytical, critical thinking, organizational, lateral thinking, decision-making, and time management skills.
• Excellent oral and written communication skills.
• Ability to prioritize multiple simultaneous tasks ensuring accuracy of information, quality thresholds and deadlines are achieved.
• Proficiency with MS Office and web navigation, including virtual conference/meeting functionality (e.g. MS Teams, Google Meet, Zoom).

Additional Considerations

• Current RN license to practice in the Commonwealth of Virginia.
• Knowledge of the continuum of services and support necessary to support the behavioral health/substance abuse treatment needs of individuals, including community-based, inpatient, and long-term care services and supports.
• Experience in assisting with quality improvement initiatives.

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.

For consideration, interested applicants must apply by completing the online application and/or submit a resume. However, emailed, faxed, and hand-delivered applications and/or resumes will not be accepted. Applications must be submitted by 11:55 p.m., on the listed closing date. Reasonable accommodations are available to persons with disabilities during application and/or interview processes per the Americans with Disabilities Act.

DBHDS welcomes all applicants authorized to work in the U.S. For more information on how to seek this authorization, please refer to Working in the United States or contact the U.S. Citizenship and Immigration Services office directly.

For any technical assistance with the jobs.virginia.gov website, please contact applicantinquiry@dhrm.virginia.gov.

Contact Information

Name: ShaKiera Miles

Phone: N/A

Email: shakiera.miles@dbhds.virginia.gov

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.