JOB TITLE (#25188): Registered Nurse / Clinical Reviewer / Remote - New York State
Minimum 1-3 years of experience in acute care utilization review/appealsbackground
Greenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer to fill an opening with a Non-profit organization located in New York
Requirements of the Registered Nurse Clinical Reviewer:
- Must have an active RN State license
- Must have 1-3 years of experience in acute care utilization review/appeals background.
- Must be comfortable working on a computer. Familiar with Outlook, spreadsheets, Word.
Benefits of the Registered Nurse Clinical Reviewer:
- The salary for this position is $45 - $50 / hr
- 2 weeks vacation
- Major holidays
- 5 sick days
- License reimbursement
Schedule of the Registered Nurse Clinical Reviewer:
- This is a Full-time position
- The is a remote position
- Monday to Friday (9:00 AM-5:30 PM)
Responsibilities of the Registered Nurse Clinical Reviewer:
- Conduct utilization reviews up to and including the appeal level. This includes chart screen, completing electronic worksheets, entering the required information, and making level one denial decisions when necessary.
- Conduct quality and clinical study data collection reviews. This includes a chart review, complete detailed electronic data worksheets.
- Act as a resource for the administrative staff in training, problem-solving, and clarifying procedures. Will provide technical assistance and conduct/participate in staff huddles.
- Participate in collaborative training specific to clinical study objectives.
- 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