Registered Nurse Clinical Reviewer (#25154 B) Job at Greenlife Healthcare Staffing, Lake Success, NY

VS9HQTk2VTR0eHhYcXhhWE0zM2tlMGpBOGc9PQ==
  • Greenlife Healthcare Staffing
  • Lake Success, NY

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.

About Greenlife Healthcare Staffing:

We are committed to our core values: integrity, honesty, and transparencyFinding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming.At Greenlife our mission is to make this process easier for you and help you through all the steps necessary to find that perfect new position or the healthcare professional to round out your team.We understand that every situation is different and our approach reflects that: we value personalized interaction with job seekers and employers, our searches are customized not cookie-cutter and our results speak for themselves: Happy job seekers and employers who found the right professional match through our services.

Job Tags

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

Similar Jobs

Consultative Search Group

Legal Billing Coordinator Job at Consultative Search Group

 ...A global law firm seeks a Billing Coordinator to join their dynamic team. This role will be responsible for coordinating the activities...  ...liaison between billing attorneys, attorney support assistants, legal attorneys, and/or organizations (customers), and the billing staff... 

Adelphi Staffing, LLC

Vascular Surgeon Job at Adelphi Staffing, LLC

 ...Job Quick Facts: Specialty: Vascular Surgery Job Type: Locum Tenens Facility Location: Worcester, MA Service Setting: Inpatient Reason For Coverage: Supplemental Coverage Period: Feb 1 - Mar 2, 2025 Coverage Type: Call Only Shifts needed... 

Martin Brower

Warehouse Supervisor Job at Martin Brower

Responsibilities: Position Responsibilities: The Warehouse Supervisor, in collaboration with the Warehouse Manager, ensures the receipt, coordination, and safety of goods coming through the warehouse As a Warehouse Supervisor, you will ensure that orders arrive... 

Hyatt

Assistant Pastry Chef Job at Hyatt

 ...like Whistle Pig and Jasper Hill have chosen to have exclusive product partnerships with us. We are looking to add an Assistant Pastry Chef to our Culinary team! This position will assist in preparing creative desserts, pastries, and baked goods in accordance with... 

PwC

Cloud Data & Analytics Strategy Senior Associate (Financial Services-Insurance) Save for Later Remove job Job at PwC

 ...cloud data environment using cloud providers such as Azure, Google Cloud Platform, Amazon Web Services, Snowflake, Databricks or Teradata. To really stand out and make us fit for the future in a constantly changing world, each and every one of us at PwC needs to...