RN Clinical Reviewer Job at Greenlife Healthcare Staffing, Jericho, NY

Z3Z1VDZ2S2o4RnBVcEFjcGZEM0J1S0UxOEE9PQ==
  • Greenlife Healthcare Staffing
  • Jericho, NY

Job Description

RN Clinical Reviewer / IDR - Remote to Office-Based Setting - Jericho, NY (#25293)

  • Location: Hybrid (Remote to Office-Based) - Jericho, NY
  • Employment Type: Full-time
  • Hourly Rate: For remote, it's $50/hr, and as soon as the candidate transitions into an office-based position, the rate will be increased to $60/hr

About Greenlife Healthcare Staffing:

Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals.

Position Overview:

Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a Non-profit organization located in New York. This hybrid role combines remote work with office-based responsibilities, focusing on conducting comprehensive medical-legal reviews and appeals for a respected non-profit organization.

Why Join Us?

  • Work Schedule: Full-time, Hybrid (Remote to Office-Based)
  • Professional Growth: Gain valuable experience in medical-legal review and dispute resolution
  • Impactful Work: Contribute to fair resolution processes in healthcare disputes

Key Responsibilities:

  • Conduct reviews up to and including the appeal level. This includes chart screen, 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 - Empowering Healthcare Professionals, Enriching Lives

Requirements

Qualifications:

  • Education: Baccalaureate degree in Nursing or a graduate of an approved RN program.
  • Licensure: Current New York State RN license
  • Experience:  
    • Must have at least 3 years of experience in a Med-Legal review setting.
    • Must have 1-3 years of experience in acute care utilization review/ appeals background.
  • Technical Skills: Experience with electronic medical records; strong research capabilities
  • Soft Skills: Excellent written/verbal communication; ability to work independently; flexible and innovative; meets deadlines in sensitive environments; strong collaborative and problem-solving skills

Benefits

  • Competitive Compensation:  For remote, it's $50/hr, and as soon as the candidate transitions into an office-based position, the rate will be increased to $60/hr.
  • Comprehensive Benefits:
    • Paid Vacation (after 6 months of employment)
    • 6 Major Paid Holidays per year (after 6 months of employment)
    • 5 Sick Days (40 Hours) subject to the provisions of NYS Paid Sick Leave Act
    • License Reimbursement after 1 year of employment
    • Health insurance is subject to plan eligibility requirements
    • 401(k) Matching eligibility after 1 year of employment
    • Benefits from Paychex, such as Payactiv
    • GLHS is a great company to work for: 93% retention of employees 2 years+, Google reviews, great company culture, etc.

Job Tags

Hourly pay, Full time, Private practice, Work at office, Flexible hours,

Similar Jobs

State of Ohio Behavioral Health Northcoast Behavioral Health...

Activity Therapy Specialist 2 Job at State of Ohio Behavioral Health Northcoast Behavioral Health...

 ...What you'll do at DBH: Plans, organizes & facilitates a comprehensive program of recreational, art, or music therapy/adjunctive therapy (AT) for assigned unit Conducts therapy sessions using defined therapy techniques & mediums Conducts individual & group therapy... 

Acloché Manufacturing

Warehouse and Production Associates - Packers, Machine Operators, Forklift Drivers in Kenton OH Job at Acloché Manufacturing

 ...in Kenton, OH Multiple positions available - packaging, machine operator and forklift. *1st and 3rd shift available* -12 hours shifts ***work 14 days a MONTH $$ Packaging - NO EXPERIENCE NECESSARY - WILL TRAIN: $19.45 hr. Load & pack products to be shipped Ensure... 

Freedom By Design Co

Digital Marketing Specialist - Remote Solution Job at Freedom By Design Co

 ...The Role: Are you an experienced digital marketer ready to take more control over your time and career? Were partnering with independent professionals who want to apply their marketing skills in a flexible, remote setting backed by training, systems, and a supportive... 

Raisso Inc

Registered Nurse PreOp/PACU Job at Raisso Inc

 ...Job Title: RN PreOp/PACU Location: 100 Pioneers Medical Center Drive, Meeker, CO 81641 Duration: 13 weeks contract Shift: Day Shift Guaranteed Hours: 36 Pay Details: ONLY LOOKING FOR TRAVELERS I.E. MORE THAN 65 MILES AWAY FROM THE FACILITYS ADDRESS... 

Healthcare Businesswomen’s Association

Executive Director, CRM Innovation Labs Job at Healthcare Businesswomen’s Association

 ...capabilities, and accelerate enterprise transformation. Define and execute the CRM Labs strategy and vision in alignment with Novartis business goals and the broader CRM transformation roadmap. Drive meaningful impact as success in this role will be measured by...