Job Description

JOB TITLE (#25154): Registered Nurse Clinical Reviewer / IDR - Lake Success or Albany, NY

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 or Albany, 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 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 $55 / hr

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.

If you would like to learn more about other opportunities we offer, please call our office: (phone number removed) or submit your Resume/RESUME to (url removed)

Job Tags

Permanent employment, Full time, Contract work, Private practice, Flexible hours,

Similar Jobs