Registered Nurse Clinical Reviewer Job at Greenlife Healthcare Staffing, Floral Park, Queens County, NY

L2l6ZWhTUy91NGh4WTlhWUZVUWs0STBOR2c9PQ==
  • Greenlife Healthcare Staffing
  • Floral Park, Queens County, NY

Job Description

Registered Nurse Clinical Reviewer / IDR - Lake Success, NY (#25202)
‣ Minimum of 1-3 years of experience in utilization review/appeals background

Greenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer to fill an opening with a Non-profit organization located in Lake Success, New York

Requirements of the Registered Nurse Clinical Reviewer:
‣ Must have a Baccalaureate degree in Nursing or graduate of an approved Registered Professional Nurses training program and be licensed to practice in the State of New York.
‣ Experience in a medical-legal review setting is preferred but not required.
‣ Must be licensed as a Registered Professional Nurse in New York State.
‣ Must have knowledge and experience with electronic medical records.
‣ Must have the ability to oversee, problem solve and work collaboratively with peers, medical, analytical, and administrative support staff.
‣ Must have excellent written and verbal skills.
‣ Must have the ability to work independently with little supervision.
‣ Must have the ability and desire to be flexible, innovative, and creative.
‣ Must have the ability to meet deadlines in time-sensitive environment
‣ Must have 1-3 years of experience in utilization review/appeals background

Benefits of the Registered Nurse Clinical Reviewer:
‣ The salary for this position is $60/hr (based on experience)
‣ Schedule of the Registered Nurse Clinical Reviewer:

This is a Full-time position (6 months contract)
‣ The contract may be extended beyond six months, contingent upon client demand and the employee's performance

Responsibilities of the Registered Nurse Clinical Reviewer:
‣ Conduct reviews up to and including the appeal level. This includes chart screens, compiling regulatory guidance, researching insurer requirements, completing electronic worksheets, and preparing final determinations.
‣ Act as a resource for the administrative and clinical staff in training, problem-solving, and clarifying determinations. Will provide technical assistance and conduct/participate in staff huddles.
‣ Participate in collaborative training
‣ Other activities as may be deemed necessary

Greenlife Healthcare Staffing is a nationwide recruitment agency, matches both new grads and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices.
Employment Type: Full-Time
Salary: $ 60.00 Per Hour

Job Tags

Hourly pay, Full time, Contract work, Private practice, Flexible hours,

Similar Jobs

Cloudious LLC

Quality Engineer with RPA Job at Cloudious LLC

 ...We are looking for Quality Engineer with RPA experience in software testing and automation. The ideal candidate will have hands-on experience with RPA tools such as Blue Prism and UiPath and a strong understanding of testing methodologies. Experience with Microsoft... 

Acadian Ambulance Service

Records Production Specialist Job at Acadian Ambulance Service

 ...medical and billing records requests and incoming patient inquiries. This is an in-office position with a Monday through Friday schedule, from 8am - 5pm. No work from home or remote options available. DUTIES AND RESPONSIBILITIES - This job description is not intended,... 

Tufts University

Senior Content Creator/Editor Job at Tufts University

 ...work, including content development across multiple channels and media ~ Sharp reporting, writing, editing, and time-management...  ...understanding of content optimization for search (traditional and AI), social, mobile, etc. ~ Skilled in establishing fruitful... 

Xcel Energy

Corporate Economic Development Manager Job at Xcel Energy

 ...business attraction plans. Collaborates with operating companies account management, community relations, area managers and economic development staff to facilitate customer growth opportunities. Supports business retention and expansion and shares competitive and market... 

The Rescue Mission of Roanoke

Administrative Assistant (Clinic) Job at The Rescue Mission of Roanoke

 ...opportunity to spread love, compassion, and smiles as you provide administrative support? At the G. W. Fralin Free Clinic, a ministry of the...  ...a volunteer Medical Director and numerous other volunteer healthcare providers. The clinic team provides the care and services an...