Clinical Reviewer RN - Ophthalmology / Ambulatory Surgery (Remote)

Job Title: Clinical Reviewer RN - Ophthalmology / Ambulatory Surgery (Remote) About the Client: Our client is a U.S.-based outpatient eye surgery center specializing in ophthalmic surgical care, including cataract, corneal, and glaucoma procedures. The center's clinical team supports patients through preoperative assessment and surgical care. Overview: The Clinical Reviewer reviews preoperative History & Physicals (H&Ps) and related patient records using facility-approved criteria to identify missing, incomplete, inconsistent, abnormal, or clinically significant information requiring follow-up or escalation before the scheduled procedure. Responsibilities: 1. Philosophy - Supports the facility's mission, goals, and objectives. - Performs duties in accordance with facility policies, procedures, and approved H&P review criteria. - Follows ethical standards and maintains professional conduct. - Functions as a professional team member and communicates respectfully with facility staff and providers. - Respects patient rights, privacy, dignity, and confidentiality. 2. Communication - Communicates clearly, objectively, and professionally with the Clinical Director, charge nurse, anesthesia personnel, surgeons, and designated staff. - Reports unresolved documentation deficiencies and clinical concerns promptly through the approved workflow. - Asks for clarification when information is unclear rather than making assumptions. 3. Safety / Risk-Management Program - Follows facility safety, privacy, documentation, and clinical-review policies. - Recognizes findings that require escalation according to facility-approved criteria. - Reports suspected documentation errors, safety concerns, or significant changes in patient condition to the appropriate licensed clinician. - Does not independently provide medical clearance, diagnose conditions, prescribe treatment, change provider orders, or make final anesthesia/surgical decisions. 4. Professional Competence - Participates in orientation, competency validation, continuing education, and annual review. - Maintains current knowledge relevant to preoperative assessment, common medical conditions, medications, and ambulatory ophthalmic surgery. - Demonstrates consistent use of facility-approved criteria and escalation pathways. - Accepts coaching and incorporates feedback into future reviews. 5. Duties - Reviews H&Ps for completeness, date/timeliness, provider signature/authentication, and required elements. - Verifies patient identity, scheduled procedure, allergies, medications, medical history, and relevant documentation for consistency. - Reviews pertinent medical history for conditions or changes requiring additional information or escalation. - Reviews available laboratory results, diagnostic studies, cardiac testing, specialty clearances, and supporting documents when required. - Identifies missing, outdated, unsigned, incomplete, conflicting, or unclear documentation. - Identifies findings that meet established criteria for escalation to the Clinical Director, charge nurse, anesthesia provider, surgeon, or other designated clinician. - Documents findings clearly and objectively using the approved facility workflow. - Maintains an organized work queue and completes reviews within established turnaround expectations. - Re-reviews charts when additional documentation or corrected information is received. - Communicates unresolved chart deficiencies promptly and tracks follow-up to completion. - Uses only approved review criteria and escalates findings outside those criteria rather than independently resolving them. Qualifications: - Registered Nurse (RN) or Licensed Practical Nurse (LPN) - Clinical experience in both ophthalmology and ambulatory surgery; experience in preoperative assessment or clinical chart review is an advantage. - Proficient in electronic medical records; experience with SIS or Epic is preferred. - Strong clinical knowledge of medical conditions, medications, allergies, and diagnostic findings relevant to preoperative review. - Able to review patient records accurately, identify missing or inconsistent information, and escalate concerns according to established guidelines. - Excellent written and verbal English communication skills, strong attention to detail, and the ability to work independently, meet deadlines, and maintain patient confidentiality in a remote setting. Schedule: 8AM to 5PM Central Time Setup: Remote / WFH Schedule: 8AM to 5PM Central Time Setup: Remote / WFH Why Join STAFFVIRTUAL? Competitive compensation and benefits package HMO Day 1 + FREE dependent coverage Allowances Attendance bonus Paid time offs Company-provided work setup (laptop, monitor, accessories) Training, career growth, and global exposure A collaborative and supportive team culture If you're a motivated, client-focused professional who's ready to grow with a company that values people and performance, we'd love to hear from you. Apply now and join our dynamic team at STAFFVIRTUAL!