Registered Nurse Clinical Reviewer / IDR Job at Greenlife Healthcare Staffing, Hempstead, NY

NmpDQzR6UkdZdHQwTldGQjRmVkZ4cVpi
  • Greenlife Healthcare Staffing
  • Hempstead, 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 $60 / 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

Glorify

Social Media Manager (Global) Job at Glorify

 ...the 2.5 billion Christians worldwide. The Role The Social Media Manager is responsible for developing and executing a social media...  ...constantly testing and developing new ideas - whether that is experimenting with new platform features, a new content format, or... 

Wyndy

Part-time Sitter Job at Wyndy

 ...Pay: $19 - $32 per hour Start Date: In 3 Days Location: Houston, TX Job Description Part-time sitter needed for two middle schoolers and a dog in Houston. Must be reliable, experienced with kids and pets, and able to create a safe and fun environment. Sitter... 

TA Staffing

Forklift-Reach Truck Job at TA Staffing

 ...We are currently hiring skilled Forklift (Stand up), Cherry Picker, and Reach Truck Operators to join our clients' warehouse operations. We are currently recruiting for various Forklift Operator jobs and shifts in Mount Juliet and Lebanon, TN. This position involves loading... 

NTT DATA Services

Audio Visual (AV) Technician - Onsite in Houston, TX Job at NTT DATA Services

 ...want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Audio Visual (AV) Technician - Onsite in Houston, TX to join our team in Houston, Texas (US-TX), United States (US). Primary role will be to setup... 

Southern Glazer’s Wine and Spirits, LLC

Sales Consultant II Premier On Premise Job at Southern Glazer’s Wine and Spirits, LLC

 ...Companies and Best Employers for Diversity. As a full-time employee, you can choose from a full menu of our Top Shelf Benefits, including...  ...present and position them in each account Propose selling solutions to each customer and win the sale using consultative selling...