Preoperative Clinical Reviewer, RN (Remote)

Job Title:Preoperative Clinical Review RN

About the Client: A specialized outpatient surgical facility in Fairfax, Virginia, dedicated to providing high-quality ophthalmic surgical care. The center offers procedures including cataract surgery, corneal transplants, and glaucoma treatments in a patient-focused environment equipped with advanced medical technology and supported by an experienced team of healthcare professionals.

Overview:

Reviews preoperative History & Physicals (H&Ps) and related patient records using NVESC-approved criteria to identify missing, incomplete, inconsistent, abnormal, or clinically significant information requiring follow-up or escalation before the scheduled procedure.

Reports to: Clinical Director

Duties and 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 NVESC 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 NVESC 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 NVESC 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 NVESC 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.

Responsibility for assets

- Responsible for accurate handling of electronic patient records and review documentation.

- Uses assigned technology, systems, and facility resources appropriately.

- Protects confidential patient and facility information in accordance with NVESC policy.

Qualifications

- Cooperative, professional work attitude toward coworkers, management, physicians, and other clinical personnel.

- Strong clinical judgment within the defined review role and ability to recognize when escalation is required.

- Excellent written and verbal English communication skills.

- Ability to work independently while following standardized criteria and workflow.

- Ability to organize priorities, solve routine documentation issues, and meet review deadlines.

Requirements Required

- Graduate of an accredited professional nursing program.

- Current, unrestricted Registered Nurse license applicable to the work performed.

- At least two years of clinical nursing experience preferred.

- Working knowledge of common chronic medical conditions, medications, allergies, laboratory and diagnostic findings relevant to preoperative review.

- Strong computer skills and familiarity with electronic medical records.

- Ability to maintain confidentiality and follow all NVESC Privacy and information security requirements.

Preferred

- Perioperative, ambulatory surgery, preoperative assessment, PACU, medical-surgical, utilization review, or clinical chart-review experience.

- Ophthalmology or ambulatory surgery center experience.

- Experience with SIS or a comparable electronic medical record.

Job quality requirements

Accuracy
Exceptional attention to detail
Timeliness
Organization
Consistent application of facility criteria
Clear and objective documentation
Appropriate escalation with minimal supervision after competency validation

Schedule: Night Shift

Setup: Remote

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!