Registered Nurse Clinical Reviewer / IDR Job at Greenlife Healthcare Staffing, New Hyde Park, NY

WFZ0OUNKblpEdkg2TE5GK3FhMWdudy9G
  • Greenlife Healthcare Staffing
  • New Hyde Park, NY

Job Description

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

Schedule of the Registered Nurse Clinical Reviewer:

  • This is a Full-time position (6 months contract)
  • The client prefers onsite for this position, but they would also consider a remote position

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

Requirements

  • 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

  • The salary for this position is $50 / hr
  • 2 Weeks Vacation
  • 6 Major Holidays
  • 5 Sick days
  • License Reimbursement

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) 608-4025 or submit your Resume/CV to [email protected]

Job Tags

Holiday work, Full time, Contract work, Private practice, Remote job, Flexible hours,

Similar Jobs

Food Bank of South Jersey

Health & Wellness Educator Job at Food Bank of South Jersey

 ...safe and healthy food, providing nutrition education and cooking courses, and developing...  ...eliminate hunger, visit Job Title: Educator, Health & Wellness Department: Health &...  ...Suite Project management skills Public speaking proficiency Ability to facilitate... 

CyberCoders

Land Development Manager - Residential Lot Development -Virginia Job at CyberCoders

 ...in the region, great tenure within the local team 2. Large pipeline of work - great stability in the local area 3. Strong benefits...  ...do not sponsor for this position. Preferred Skills Construction Development Land Development land... 

The Golub Corporation

Accepting Applications - Clifton Park Shoppers World Job at The Golub Corporation

 ...- Our Floral department is a state-of-the-art operation. Using MyFloralPlace.com enables our guests to see what they are ordering online, build custom bouquets and even keep a visual record of purchases. If you are interested in brightening lives with flowers, "talking... 

Baxter & Woodman, Inc.

Senior Water Wastewater Engineer Job at Baxter & Woodman, Inc.

 ...EngineerChoose your location: Chicago, Crystal Lake, Mokena, or Naperville, Illinois offices.Why you should join our team! Why Baxter & Woodman?At Baxter & Woodman, both seasoned professionals and recent graduates find more than a job; they uncover a long-lasting... 

Cedar Park Group

Echo Technician Job at Cedar Park Group

 ...Cedar Park Med is seekingEcho Techniciansfor immediate job openings. Monday through Friday 8:00-4:30, weekend rotation, holiday call rotation, and rotation between inpatient and outpatient facilities Requirements: Must have must have six months of full-ti...