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
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.
- 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 of the Registered Nurse Clinical Reviewer:
- The salary for this position is $50 / hr
- This is a Full-time position
- 2 Weeks Vacation
- 6 Major Holidays
- 5 Sick days
- License Reimbursement
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) ###-#### or submit your Resume/CV to ...@glhstaffing.com