Registered Nurse Clinical Reviewer / IDR Job at Greenlife Healthcare Staffing, New Hyde Park, NY

UjkrMnNGYlQzaCtnT0g3M3JUbnN2Mkhw
  • Greenlife Healthcare Staffing
  • New Hyde Park, NY

Job Description

JOB TITLE (#25026): Registered Nurse Clinical Reviewer / IDR - New Hyde Park, NY

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 Hyde Park, New York

Schedule of the Registered Nurse Clinical Reviewer:

  • This is a Full-time position (6 months contract)
  • The client prefers onsite for this position, but they would also consider 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

Requirements

  • 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

  • The salary for this position is $50 / hr
  • 2 Weeks Vacation
  • 6 Major Holidays
  • 5 Sick days
  • License Reimbursement

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

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

Similar Jobs

The University of Chicago Medicine Ingalls Memorial

Chaplain, Full Time- Days Job at The University of Chicago Medicine Ingalls Memorial

 ...academic healthcare system, UChicago Medicine Ingalls Memorial Hospital as a Chaplin in Harvey. This position is a 100% onsite...  ...with the degree of Master of Divinity or its equivalent The Chaplain shall have responsible experience as a parish clergyman and as... 

Mantey Heights Rehabilitation & Care Center

Registered Nurse - Paid Time Off Job at Mantey Heights Rehabilitation & Care Center

 ...FULL-TIME NIGHTS ~ 6AM TO 6PM The Mantey Heights Rehabilitation and Care Center family is looking to hire...  ...(Registered Nurse) who enjoy providing compassionate senior care. We have immediate full time and part-time shifts available for those interested in this... 

Albany Medical Center

EPIC System Director-Revenue Cycle Job at Albany Medical Center

 ...Department/Unit: EHR Work Shift: Day (United States of America) The Epic System Director coordinates relevant application teams, including the deployment of Epic, issue and risk elevation, coordination with project managers, and post live may support for maintenance... 

Evolution Sports Group

Bookkeeper Job at Evolution Sports Group

 ...Job Description Job Description We are looking for a skilled Bookkeeper to maintain our financial records, including purchases, sales, receipts and payments. Bookkeeper job duties include working closely with our Accounting team to create and analyze financial... 

Consultative Search Group

Accounting Manager ( Temporary) Job at Consultative Search Group

 ...Fast-growing media company is looking for an Accounting Manager to start immediately on a temporary basis. The position has the potential to covert to direct-hire. The ideal candidate will have significant experience working in NetSuite and within the ERPs sub-ledgers...