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

Christiana Care 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 Care@Work
  • 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.

Required

Preferred

Job Industries

• Healthcare