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

Actalent

Embedded software engineer Job at Actalent

 ...Embedded Software Engineer Job Description As an Embedded Software Engineer, you will design and develop complex code for mission-critical systems. You will have the opportunity to engage in hands-on coding within Linux and/or RTOS environments, and work with... 

Templar Media

Gameplay Programmer Job at Templar Media

 ...Preference to Applicants With : Deep knowledge of Unreal Animation System Deep understanding with Player 3C Experience with...  ...package and a professional but non-corporate environment. This position is full-time onsite/remote at our studio in Alpharetta, GA.... 

Franciscan Health

Clinical Cardiac Testing Exercise Physiologist (1.0 FTE/Days) Job at Franciscan Health

 ...Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible... 

Keurig Dr Pepper Inc.

Warehouse Picker Order Selector Job at Keurig Dr Pepper Inc.

 ...Job Overview: Warehouse Picker Order Selector - Lenexa, KS About the Role Accurately pick products by matching numbers and...  ...Friday 10:00AM finished Flexibility to work overtime and weekend as needed is required About You We are looking for a self... 

firstsourc

Bilingual Team Lead Job at firstsourc

 ...Bilingual Team Lead About Firstsource Firstsource Solutions is...  ...highest quality standards in their work. Provide coaching and...  ...regulations and compliance Speak Spanish & English Additional...  ...work onsite or remotely from home. Physical Demands The physical...