Registered Nurse Clinical Reviewer Job at GreenLife Healthcare Staffing, Lake Success, NY

L1NMWWp5TzR1NHB5WnRXYUUwa2o0SWdJRmc9PQ==
  • GreenLife Healthcare Staffing
  • Lake Success, NY

Job Description

Registered Nurse Clinical Reviewer / IDR – Lake Success, NY (#25203)

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.

If you would like to learn more about other opportunities we offer, please call our office: (800) 608-4025 or submit your Resume/CV to hr@glhstaffing.com

Job Tags

Full time, Contract work, Temporary work, Private practice, Flexible hours,

Similar Jobs

HCA Healthcare

Advanced Clinical Pharmacist Job at HCA Healthcare

 ...benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet... 

Pacific Gas And Electric Company

Senior Recruiter Job at Pacific Gas And Electric Company

 ...Human Resources & Enterprise Change Ofc Work Type: Hybrid Job Location: Oakland...  ...Solutions; Talent Acquisition & Mobility (Recruiting); Workforces Development; and the Enterprise...  ...role is hybrid, working from your remote home office and the Oakland General Office, or... 

United States Postal Service (USPS)

City Mail Carrier (CCA) Job at United States Postal Service (USPS)

 ...requires efficient route management, exceptional customer service, and the ability to handle physical demands associated with mail delivery. As an integral member of the postal services team, the City Mail Carrier ensures timely and accurate delivery within assigned... 

Success Matcher

Sr. Fire Protection Engineer Job at Success Matcher

 ...Overview Our client, a growing engineering firm with a thriving portfolio of diverse projects, is seeking Fire Protection & Life Safety Engineers to lead impactful projects and shape the future of the business. This is a rare opportunity to join a company that values... 

Red Robin

Server Job at Red Robin

 ...Gourmet Burgers and Brews! We are a Franchisee of Red Robin and an Equal Opportunity Employer The advertised pay is an estimate, you will be paid the tip credit minimum wage plus tips. #sourcingpro #56uv #56total #redrobin656server #redrobin #colbyrestaurantgroup