Registered Nurse Clinical Reviewer / IDR Job at Greenlife Healthcare Staffing, Lake Success, NY

V1p2UGtWTE1iSkZsQ253c0RyajEyeVZHL1E9PQ==
  • Greenlife Healthcare Staffing
  • Lake Success, NY

Job Description

Registered Nurse Clinical Reviewer / IDR – Lake Success, NY

Job ID: #25203

Location: Lake Success, NY

Employment Type: Full-Time (6-Month Contract)

Compensation: $60 per hour (based on experience)

Organization: GreenLife Healthcare Staffing

Position Overview

GreenLife Healthcare Staffing is seeking a Registered Nurse Clinical Reviewer for a non-profit organization located in Lake Success, NY . This is a contract position with potential for extension based on performance and client needs. Candidates should have a utilization review or appeals background (1–3 years) and be comfortable working in a fast-paced, deadline-driven environment.

Why Join GreenLife?

GreenLife Healthcare Staffing is a trusted, nationwide recruitment agency connecting healthcare professionals with top-tier opportunities in hospitals, clinics, non-profits, private practices, and multi-specialty groups. We support professionals at every stage of their careers.

Key Responsibilities

  • Conduct clinical reviews, including chart screening and appeal-level reviews
  • Research and apply regulatory guidance and insurer requirements
  • Complete electronic worksheets and prepare final determination reports
  • Serve as a resource for training and technical assistance to clinical and administrative staff
  • Lead or participate in team huddles and collaborative training sessions
  • Support continuous improvement in review processes and workflow
  • Perform other related duties as assigned

Requirements

Required Qualifications

  • Licensed Registered Nurse in New York State
  • BSN or graduate of an approved RN training program
  • 1–3 years of experience in utilization review or appeals
  • Familiarity with electronic medical records (EMRs)
  • Ability to work independently and meet strict deadlines
  • Strong communication skills (written and verbal)
  • Team-oriented, problem-solving mindset
  • Experience in a medical-legal review setting is a plus

Benefits

Compensation & Schedule

  • Hourly Rate: $60/hour (based on experience)
  • Type: Full-time, 6-month contract (potential to extend)
  • Location: On-site or hybrid (if applicable) – Lake Success, NY

Job Tags

Hourly pay, Full time, Contract work, Private practice,

Similar Jobs

ABM Industries

School Cleaner Job at ABM Industries

 ...ABM Industries - 1290 N AVE. [Cleaning Technician / Custodian] As a School Cleaner at ABM Industries, you'll: Provide the cleaning and upkeep of an assigned area; Clean and maintain carpets and hard surface floors by vacuuming, sweeping, and mopping floors; Dust furniture... 

Carney, Sandoe & Associates

Physics Teacher Job at Carney, Sandoe & Associates

 ...education recruitment organization, is currently seeking Physics Teachers for the 2025-2026 school year at independent schools in the Seattle area....  ...lessons for students at various levels (e.g., middle school, high school, or advanced courses). Use a variety of... 

Helotes Ready Mix LLC

Ready Mix Truck Driver Job at Helotes Ready Mix LLC

 ...Job Description Job Description Must have a minimum Class B drivers license. One year experience. Must be able to work early hours....  ...experience.San Antonio REd Company Description San Antonio Ready Mix Company Company Description San Antonio Ready Mix Company... 

Sapsol Technologies Inc

Entry Level SAP MM Consultant needed for Project implementation Job at Sapsol Technologies Inc

 ...Entry-Level SAP MM Consultant , Remote SAPSOL Technologies Inc. is actively seeking freshers who are passionate about SAP and eager to start their careers as SAP MM Consultants. If you are a recent graduate or someone with little to no prior work experience and you... 

Insight Global

Epic Application Analyst - Cardiology Job at Insight Global

A premier healthcare client in Houston, Texas is looking to add a remote Epic Application Analyst to their team. This Analyst will be responsible for assisting the team with daytime on-call tickets. The majority of the tickets include assigning access with the occasional...