Job #25026 - Registered Nurse Clinical Reviewer / IDR Job at Greenlife Healthcare Staffing, New York, NY

d1JkNUdnUzZnZm9TcnMvN2hTSlQzRC9udUE9PQ==
  • Greenlife Healthcare Staffing
  • New York, NY

Job Description

Registered Nurse Clinical Reviewer / IDR - Remote (#25026)

Minimum of 3 years experience in a medical review setting

Greenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer to fill an opening with a Non-profit organization located in 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.
✦Must have at least 3 years of experience in a Med-Legal review setting.
✦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, and 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 a time-sensitive environment.
✦Must have 1-3 years of experience in acute care utilization review/appeals background

Benefits of the Registered Nurse Clinical Reviewer:
✦The salary for this position is $50 / hr
✦5 Sick days

Schedule of the Registered Nurse Clinical Reviewer:
✦This is a Full-time position (6 months contract)
✦The is a remote position

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 us.
Employment Type: Full-Time
Salary: $ 50.00 Per Hour

Job Tags

Hourly pay, Full time, Contract work, Private practice, Flexible hours,

Similar Jobs

LingoCircle

Online Korean Teacher for Kids Job at LingoCircle

 ...Online Korean Teachers (freelance)$20-$25 per hour Job description: As a LingoCircle instructor, you will teach children 3 to 15 years old remotely using a communicative method, leveraging your creativity to maintain high levels of motivation and engagement with... 

Ruby Medical Transit Services

Medical Transport Driver Job at Ruby Medical Transit Services

 ...Ruby Medical Transit is a non emergency medical transportation company. We are seeking full and part-time drivers to assist in getting our clients to and from their appointments. We provide a service to a vulnerable population that requires a compassionate, patient, and... 

Sanford Health

RN Community Care Manager - Full Time Job at Sanford Health

 ...emergency department. The Community RN Care Manager provides complex medical care...  ...patient and families to coordinate care with insurance companies, state and applicable assistance...  ...three years experience in population health, case management, utilization review, health plan... 

Good Samaritan Society

Charge Nurse - RN Job at Good Samaritan Society

 ...Central City, NE 68826 USA Employment Type: Full-Time Shift: 12 Hours - Day Shifts Job Responsibilities This position provides care...  ...resident care plans Completes comprehensive nursing assessment of all residents on admission and on an ongoing basis... 

Four Eighteen Logistics

Owner Operator Box Truck Driver for Amazon Routes (non CDL) Job at Four Eighteen Logistics

Four Eighteen Logistics is searching for dependable Box Truck Drivers (non CDL) to safely transport dock-to-dock freight. We need drivers for routes departing from Lancaster, NY. Requirements: 1. Must CURRENTLY own, lease or rent a 24 or 26 foot box truck with a liftgate...