Clinical Reviewer II (RN) Emergency Department

Clinical Reviewer Emergency Department

We are seeking an experienced Emergency Department (ED) nurse to join our team as a Clinical Reviewer II In this role you will support ED clinical documentation integrity through real-time chart reviews collaboration with providers and participation in quality and safety initiatives. Your expertise will help ensure documentation accurately reflects patient acuity supports compliant coding and meets all regulatory standards. This position is ideal for a seasoned ED clinician who is passionate about documentation quality regulatory compliance and driving improvements in patient care.

Key Responsibilities:

Documentation Review & Clinical Collaboration

• Conduct concurrent and retrospective chart audits for ED encounters.
• Collaborate with ED physicians APPs and nursing staff to clarify documentation and ensure EHR alignment.
• Provide real-time feedback and education on documentation best practices quality measures and regulatory updates.
• Partner with coding and HIM teams to ensure accurate DRG assignment and appropriate capture of severity of illness and risk of mortality.

Quality Safety & Compliance

• Monitor and report on ED-specific quality indicators (e.g. sepsis compliance core measures throughput).
• Participate in ED huddles multidisciplinary committees and process improvement initiatives.
• Maintain comprehensive knowledge of ED regulatory requirements (CMS EMTALA Joint Commission).
• Adhere to HIPAA and organizational confidentiality standards.

EHR & Data Utilization

• Use EHR dashboards and reporting tools to track documentation trends and outcomes.
• Support optimization of ED-specific EHR templates and clinical decision support tools.

Education & Professional Development

• Educate providers and staff on documentation standards and quality expectations.
• Participate in CDI coding quality and regulatory education sessions.
• Complete a minimum of 8 CEUs annually in CDI quality or regulatory-related topics.

Qualifications:

Required

• Bachelors degree in Nursing (BSN)
• Active RN license in Delaware or compact state
• Minimum of 3 years of recent Emergency Department nursing experience
• Clinical Documentation Certification (CCDS) required within 1 year of eligibility
• Strong understanding of ED operations clinical workflows and regulatory compliance

Preferred

• Coding or CDI experience
• Experience with EHR documentation tools and reporting dashboards

ChristianaCare Offers:

• Comprehensive benefits package including Medical Dental Vision Life Insurance and more
• Two retirement plan options including a 403(b) with company contributions
• Generous Paid Time Off (PTO) with annual rollover and cashout opportunities
• 12week paid parental leave
• Tuition assistance to support continuing education
• Outstanding Work/Life balance benefits including:
  • Annual membership to
  • Access to backup dependent care through
  • Retirement planning support and financial coaching
  • Fitness and wellness reimbursement
  • Discounts for hotels rental cars theme parks shows sporting events movie tickets and more

Christiana Care Health System is an equal opportunity employer firmly committed to prohibiting discrimination whose staff is reflective of its community and considers qualified applicants for open positions without regard to race color sex religion national origin sexual orientation genetic information gender identity or expression age veteran status disability pregnancy citizenship status or any other characteristic protected under applicable federal state or local law.

Post End Date

EEO Posting Statement

ChristianaCare offers a competitive suite of employee benefits to maximize the wellness of you and your family including health insurance paid time off retirement an employee assistance program. To learn more about our benefits for eligible positions visit