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

DSI Security Services

Security Officer Job at DSI Security Services

 ...opportunity in all its activities and programs and does not discriminate against anyone protected by law because of age, color, disability, national origin, race, religion, sex, handicap, or status as a veteran or disabled veteran.DSI Security Services is an equal... 

Academy of Art University

3D Animation & VFX Lab Technician — Student Tech Support Job at Academy of Art University

 ...university in San Francisco is hiring a Lab Technician for the 3D Animation & Visual Effects program. This full-time position involves...  ...role is on-site, with a salary of $22.00/hour and opportunity for remote work within the contiguous U.S. Application deadline is January... 

Princess Cruises

Florist Rooms Job at Princess Cruises

 ...upcoming promotions, seasonal needs, and special occasions, maintaining efficient inventory levels.; Ensure all work areas, including the florists pantry and storage areas, are organized, clean, and meet hygiene and public health standards at all times.; Deliver a... 

The UPS Store #0647

Retail Store Manager Job at The UPS Store #0647

This position is for the retail location of The UPS Store - not the warehouse or corporate.The Retail Store Manager is responsible for the day-to-day operations of the retail location. He or she will open and close the store, manage productivity and ensure the store'... 

Bon Secours Mercy Health

Registered Nurse (RN) Outpatient Wound Care - Paducah Medical Pavilion Job at Bon Secours Mercy Health

 ...team and help us continue to provide the highest quality of health care possible to our communities. Mercy Health About Us As a...  ...help communities thrive. Registered Nurse (RN) Outpatient Wound Care Paducah Medical Pavilion Job Summary The Outpatient...