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

DivIHN Integration Inc

Embedded Software Engineer III Job at DivIHN Integration Inc

 ...regarding the following opportunity, please contact our Talent Specialist: Hema Malini at (***) ***-**** Title: Embedded Software Engineer III Location: Skaneateles, NY (Hybrid Preferred - but open to 100% Remote) Duration: 12 Months Only W2 candidates... 

McElroy Truck Lines

Class A CDL - Flatbed Driver Job at McElroy Truck Lines

 ...100% pre-loaded and pre-tarped.- Home Daily- Full 48 hour weekend (Saturday & Sunday)- .55-.59 cpm on all empty moves- 150-mile...  ..., drug test and agility test - Have a professional appearance - Be highly motivated - Have a valid Class A-CDL... 

City of Appleton

Economic Development Specialist Job at City of Appleton

 ...Economic Development Specialist Come join the City of Appleton! Here at the City, youll have the opportunity to grow and enjoy your best life through challenging work, great teams, training opportunities, and making a lasting impact on the community. We welcome and... 

Cabela's

Group Sales Manager-Frontend and Receiving Job at Cabela's

 ...world class customer service and ensures a pleasant and productive shopping experience for all customers. Meets or exceeds all...  ...Paid holidays Paid vacation Paid sick time Bass Pro Cares Fund And more! Bass Pro Shops is an equal opportunity... 

Sharps Medical Waste Services

Administrative Assistant Job at Sharps Medical Waste Services

 ...We provide excellent customer service to local hospitals and healthcare professionals and represent one of the most prominent companies...  ...to help with the organization and running of the daily administrative operations of the company. The ideal candidate will be a punctual...