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

bHR2U1ZzRzJEWjhKdGVxRkVPaDJqMm9P
  • 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, Flexible hours,

Similar Jobs

Timbers Kauai

Farm Manager Job at Timbers Kauai

 ...01k match.Complimentary golf for employees and immediate family members.SUMMARY:We are seeking a passionate and innovative Farm Manager for Hkala and Timbers Kauai Residence Club. The Farm Manager is the heart and soul of the organic Farm at Hkala. The Farm Manager... 

Accurate Staffing Consultants

Travel Nurse RN - Med Surg / Telemetry - $1,944 per week Job at Accurate Staffing Consultants

 ...week ~ Shift: 12 hours, days ~ Employment Type: Travel 2 years of experience required. Certs: ACLS, BLS, NIHSS. Auto-offer! Epic Charting. Ratio is 1:5,6 Accurate Staffing Consultants Job ID #33945700. Pay package is based on 12 hour shifts and 36 hours per... 

Crown Health Care Laundry Services

CDL A Driver Job at Crown Health Care Laundry Services

 ...Job Description Class A CDL Route Driver Are you an over-the-road driver who would like to be home during the day? Are you a CDL Driver...  ...an average of an 11-hour day. You are paid for every hour worked. Our drivers will load and unload their trucks of linen carts.

Thunder Valley Casino Resort

Sanitation Kitchen Worker Job at Thunder Valley Casino Resort

Overview : The Kitchen Worker is responsible for set up and breakdown of dish machine, cleaning dishes, flatware, glassware, and...  ...cleanliness. Setup breakdown area with racks, silver tubs, soap, sanitizer, storage racks and floor mats. Collect cookware from cooking... 

UnitedHealth Group

Medicare Sales Agent - Denver, CO Job at UnitedHealth Group

 ...EXTERNAL APPLICANTS Guaranteed base pay + monthly sales incentive earning potential. Realistic Job Preview...  ...are growing our team in Englewood, CO and have multiple Medicare Sales Agent openings available now. In this inbound call role, you will...