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,