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

JAMES AIR CARGO

Class A CDL Delivery Driver Job at JAMES AIR CARGO

 ...NOW HIRING CLASS A CDL DRIVERS James Air Cargo is a proud family-owned last-mile trucking company servicing Northeast Ohio for more than 30 years. We are seeking...  ...various sized vehicles from tractor-trailers or straight trucks. (non-CDL) Provide excellent customer... 

Always Best Care Senior Services - Desert Cities

Babysitter / Nanny Job at Always Best Care Senior Services - Desert Cities

Job Title: Babysitter/Nanny We are seeking a reliable and caring babysitter to provide attentive childcare for the children in our home environment. The ideal candidate will be responsible for ensuring the safety and well-being of the child/children. This role does...

Wellbe Senior Medical

Nurse Practitioner Job at Wellbe Senior Medical

 ...across the country! Job Description: What Telehealth - Nurse Practitioners Love About WellBe: $20,000.00 si gn on bonus. Competitive...  ...) 1+ year delivering clinical care via video-enabled telemedicine Prior healthcare experience in areas of medical... 

Domino's Corporate

Class B CDL Driver - Straight Truck Driver Job at Domino's Corporate

 ...PIZZA AND MORE POSSIBLE Be a part of the world's #1 Pizza company! Job Description Dominos Class B CDL Straight Truck Driver safely drives the company commercial vehicle on established routes to deliver and unload products to Dominos Pizza store locations... 

Pacer Group

Electronic Technician Job at Pacer Group

 ...Job Title: Electronic Technician Location: New Iberia, LA 70560 Pay Rate: XX22.00/hour Duration: 12 months Schedule Shift: 7 Days On / 5 Days Off (OT After 40hrs/week) On-Call: 24/7 during the 7 on-days No calls between 11:00 PM 5...