Registered Nurse Clinical Reviewer / IDR - Remote to Office-Based, Jericho, NY (\#25302)
Location: Remote to Office-Based, Jericho, NY
Employment Type: Full-time
Hourly Rate: $50/hr
About Greenlife Healthcare Staffing:
Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals.
Position Overview:
Greenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer to fill an opening with a Non-profit organization located in Jericho, NY. This remote to office-based position involves conducting comprehensive medical-legal reviews, research, and appeals while ensuring regulatory compliance and producing accurate final determinations for a respected non-profit organization.
Why Join Us?
- Competitive Compensation: Earn $50 per hour
- Comprehensive Benefits:
- 1 Week of Paid Vacation based on accruals after 6 months of employment (2 weeks of Paid Vacation with accrual starting your second year of employment)
- 6 Major Paid Holidays per year after 6 months of employment
- 5 Sick Days (40 Hours) subject to the provisions of NYS Paid Sick Leave Act
- License Reimbursement after 1 year of employment
- Health insurance is subject to plan eligibility requirements
- 401(k) Matching eligibility after 1 year of employment
- Benefits from Paychex, such as Payactiv
- GLHS is a great company to work for: 93% retention of employees 2 years+, Google reviews, great company culture, etc.
- Work Schedule: Full-time, Remote to Office-Based position
- Professional Growth: Gain valuable experience in medical-legal review and dispute resolution processes
- Impactful Work: Contribute to fair and accurate resolution of healthcare disputes
Qualifications:
- Education: Baccalaureate degree in Nursing or a graduate of an approved RN program
- Licensure: Current New York State RN license
- Experience: 3+ years in Med-Legal review setting; 1-3 years in acute care utilization review/appeals
- Technical Skills: Experience with electronic medical records; strong research and documentation abilities
- Soft Skills: Excellent written/verbal communication; ability to work independently and collaboratively; flexible, innovative, and creative; the ability to oversee, problem solve, and work collaboratively with peers, medical, analytical, and administrative support staff; meets deadlines in time-sensitive environments
Key Responsibilities:
- Conduct reviews up to and including the appeal level. This includes chart screen, 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
How to Apply: If you are an experienced RN Clinical Reviewer with IDR expertise ready for a remote to Office-based position, we want to hear from you! Submit your Resume/CV to hr@glhstaffing.com or call our office at (800) 608-4025 to learn more about this opportunity.
Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives