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

Compose.ly

Freelance B2B Writer - Governance, Sustainability & ESG Job at Compose.ly

 ...Compose.ly is looking for experienced freelance writers to produce B2B content on corporate governance, board technology, and sustainability...  ..., authoritative articles for executive-level audiences. You'll write content that helps corporate directors, general counsel, and... 

Fedex Corporate Services

Package Handler - Part Time (Warehouse like) Job at Fedex Corporate Services

 ...and your safety in the workplace. Perks and Benefits at Federal Express Corporation (FEC): - Competitive wages beginning at $17.20 per hour paid weekly for both full and part time opportunities- $5,250 tuition reimbursement every year with no lifetime cap! All employees... 

Next Step Healthcare

Administrative Assistant Job at Next Step Healthcare

 ...Now hiring an Administrative Assistant for the Corporate Office at Next Step Healthcare (Part-time) Job Overview Summary: This position is responsible for supporting the corporate office with daily general office duties. The Administrative Assistant will work directly... 

Senator Inn

Laundry Attendant Job at Senator Inn

 ...an exciting opportunity to join a dynamic team at Lafayette Hotels? If you answered yes, we want to hear from you! Lafayette Hotels...  ...and New Hampshire, is seeking an active, self-motivated Laundry Attendant to join our team. With properties in stunning locations such... 

Lake George Massage And Day Spa

Massage Therapist Job at Lake George Massage And Day Spa

 ...Lake George Massage And Day Spa in Lake George, NY is looking for one Full time massage therapist and one part time therapist to join our 9 person strong team. Our spa is open year round . Our ideal candidate is attentive, motivated, and reliable. Pay is hourly plus tips...