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

Community Living Alliance

Advanced In-Home Caregiver - AMs ONLY Job at Community Living Alliance

What does a day in this role look like? This role provides care from 7:00 AM - 3:00 PM to clients that have had their caregiver call in for the day, provide cares while a caregiver takes time off or provide care to a newly enrolled client until a permanent caregiver... 

MIG, Inc.

Senior Project Manager (Economic Development & Implementation) Job at MIG, Inc.

 ...Careers Senior Project Manager (Economic Development & Implementation) Full Time Brooklyn We are excited to be growing our economic development and planning team and are seeking an experienced Project Manager with strong consulting, analysis, and client management... 

Wilson's Refrigeration & AC Service, Inc.

Experienced Bookkeeper Job at Wilson's Refrigeration & AC Service, Inc.

Experienced Bookkeeper Location Columbia, SC : Wilson's Refrigeration & Air has an immediate opening for an experienced Bookkeeper who will be responsible for overseeing the company's financial data and compliance by maintaining accurate books on accounts payable and... 

FETCH! PET CARE GROVETON - MT VERNON

Dog Walker | Pet Sitter Job at FETCH! PET CARE GROVETON - MT VERNON

 ...Fetch! Pet Care is Hiring! Does spending time giving TLC to dogs and cats sound like your idea of fun? Do you have a flexible schedule...  ...neighborhood provider of professional dog walking and pet-sitting services in the DMV for over 10 years. We are currently expanding... 

AC Atlanta Perimeter

Laundry Attendant Job at AC Atlanta Perimeter

 ...Laundry Attendant - Full or Part Time Our Culture: We are a highly entrepreneurial company limited only by our imagination. Diversity...  ...maintaining a consistent supply of clean linens and towels for the hotel, restaurant, and banquet facilities. The attendant will...