Job #25026 - Registered Nurse Clinical Reviewer / IDR - New Hyde Park, NY Job at GreenLife Healthcare Staffing, New Hyde Park, NY

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  • 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

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 (6 months contract)
  • 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) 608-4025 or submit your Resume/CV to hr@glhstaffing.com

Job Tags

Holiday work, Full time, Contract work, Temporary work, Private practice, Flexible hours,

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