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

YMCA

Housekeeping Staff - Nights & Weekends- MALE Job at YMCA

 ...and an important member of our team, you will perform all of the day-to-day cleaning services. We are in need of a MALE Housekeeper who will work in our men's locker room. Shifts are nights and weekends. RESPONSIBILITES: Ensure the cleanliness of the facility by... 

United Services Northwest

Door Knocker - Door to Door Lead Generator - Part Time Job at United Services Northwest

 ...This is an entry-level sales role where youll be the first point of contact with homeowners, introducing our services and generating qualified leads for our estimators and sales representatives. What Youll Do Walk targeted neighborhoods and knock on doors to... 

ATC Chicago

Cleaning Professionals-Maid Services Job at ATC Chicago

Profesional de Limpieza - Servicios de Mucama - Fines de Semana + Auto de la Empresa + Pago de Bonos! Buscas un trabajo donde valoren tu esfuerzo y tus fines de semana realmente valgan la pena? Estamos contratando un Profesional de Limpieza - Fines de Semana +... 

ABC Supply Co., Inc

CDL Delivery Truck Driver Job at ABC Supply Co., Inc

 ...If youre a licensed CDL Driver looking to advance your career with a nationally established...  ...Completing a thorough load check on your truck before leaving the branch, ensuring that...  ...and random drug screens are required Straight truck experience is preferred Semi... 

Dynamic Systems Technology, Inc.

Program Manager - IMCOM Systems Navigators Job at Dynamic Systems Technology, Inc.

 ...Navigators and ACS Compliance Specialists (SNACS) Support Services contract. The PM serves as the primary point of contact between DysTech...  ...Experience managing geographically dispersed teams and remote personnel Work Environment & Location Program management...