Job Description

Registered Nurse Clinical Reviewer / IDR - Lake Success, NY (#25154 B)

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 $55 - $58 / 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 us.
Employment Type: Full-Time
Salary: $ 55.00 58.00 Per Hour

Job Tags

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

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