RN Clinical Reviewer Job at Greenlife Healthcare Staffing, Jericho, NY

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  • Greenlife Healthcare Staffing
  • Jericho, NY

Job Description

RN Clinical Reviewer - Jericho, NY (#25314)

  • Location: Jericho, NY
  • Employment Type: Full-time
  • Hourly Rate: $45/hr - $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:

We are seeking a skilled Registered Nurse Clinical Reviewer to join a team at a respected non-profit organization in Jericho, NY. This role combines clinical expertise with analytical review, focusing on utilization reviews, quality data collection, and appeal-level determinations to support healthcare quality improvement initiatives.

Why Join Us?

  • Work Schedule: Full-time, Monday - Friday
  • Professional Growth: Gain valuable experience in utilization review, quality improvement, and clinical data analysis
  • Impactful Work: Contribute to a mission-driven organization dedicated to improving patient outcomes through rigorous clinical review processes.

Key Responsibilities:

  • Conduct utilization reviews up to and including the appeal level. This includes chart screens, complete electronic worksheets, enter required information and make level one denial decisions when necessary.
  • Conduct quality and clinical study data collection reviews. This includes chart review, complete detailed electronic data worksheets.
  • Act as a resource for the administrative staff in training, problem solving, and clarifying procedures. Will provide technical assistance and conduct/participate in staff huddles.
  • Participate in collaborative training specific to clinical study objectives.
  • Other activities as may be deemed necessary.

Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives

Requirements

Qualifications:

  • Education: Baccalaureate degree in Nursing or graduate of approved Registered Professional Nurses training program
  • Licensure: Active New York State RN license
  • Experience:
    • Must have a minimum of two years of experience in an acute care facility, preferably in medicine/surgery or special care units; and/or one to three years of experience in acute care utilization review.
    • Knowledge and experience with electronic medical records, including utilization, quality, and clinical charting.
  • Skills:
    • Ability to oversee, problem solve and work collaboratively with peers, medical, analytical, and administrative support staff.
    • Excellent written and verbal skills.
    • Ability to work independently with little supervision.
    • Ability and desire to be flexible, innovative, and creative.

Benefits

  • Competitive Compensation: Earn $45 - $50 per hour, based on experience
  • Comprehensive Benefits:
    • 5 Sick Days (40 Hours) subject to the provisions of NYS Paid Sick Leave Act
    • 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.

Job Tags

Hourly pay, Full time, Private practice, Monday to Friday, Flexible hours

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