RN Clinical Reviewer / IDR - Remote Job at Greenlife Healthcare Staffing, Jericho, NY

MFBWa2hZeTBQUVllN211QkluVjFmb1BIQmc9PQ==
  • Greenlife Healthcare Staffing
  • Jericho, NY

Job Description

RN Clinical Reviewer / IDR - Remote (#25310C)

Location: Remote
Employment Type: Full-time
Hourly Rate: $50/hr

Position Overview:

Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a remote position at a Non-profit organization located in New York. Responsibilities, focusing on conducting comprehensive medical-legal reviews and appeals for a respected non-profit organization.

Why Join Us?

  • Competitive Compensation: $50/hr.
  • Comprehensive Benefits:
    • 1 Week of Paid Vacation based on accruals after 3 months of employment (2 weeks of Paid Vacation with accrual starting your second year of employment).
    • 6 Major Paid Holidays per year (after 3 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
  • Professional Growth: Gain valuable experience in medical-legal review and dispute resolution.
  • Impactful Work: Contribute to fair resolution processes in healthcare disputes.

Qualifications:

  • Education: Baccalaureate degree in Nursing or a graduate of an approved RN program.
  • Licensure: Current New York State RN license.
  • Experience:  
    • Must have at least 3 years of experience in a Med-Legal review setting.
    • Must have 1-3 years of experience in acute care utilization review/ appeals background.
  • Technical Skills: Experience with electronic medical records; strong research capabilities
  • Soft Skills: Excellent written/verbal communication; ability to work independently; flexible and innovative; meets deadlines in sensitive environments; strong collaborative and problem-solving skills.

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.

About Greenlife Healthcare Staffing:

We are committed to our core values: integrity, honesty, and transparencyFinding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming.At Greenlife our mission is to make this process easier for you and help you through all the steps necessary to find that perfect new position or the healthcare professional to round out your team.We understand that every situation is different and our approach reflects that: we value personalized interaction with job seekers and employers, our searches are customized not cookie-cutter and our results speak for themselves: Happy job seekers and employers who found the right professional match through our services.

Job Tags

Hourly pay, Full time, Remote work, Flexible hours

Similar Jobs

IntelliCybers

Litigation Associate Attorney Job at IntelliCybers

Job Title: Litigation Associate Attorney location: Raleigh, NC - Onsite Requirements: 2-4+ years of litigation experience Active North Carolina bar license Wide rangeof litigation matters, including complex business and tort cases

Huyett

Digital Marketing Specialist Job at Huyett

 ...Description Digital Marketing Specialist - Revenue Operations Specialist Compensation: Starting pay of $56000 to $70000 annually three performance bonuses a year! Location: Salina KS or Sidney NE (This is NOT a remote position.) Huyett is a leading B2B master... 

BJC Healthcare

Specialty Pharmacist Job at BJC Healthcare

Additional Information About the Role Are you a licensed pharmacist looking for a new adventure? We are looking for a collaborative and patient-centered individual to join our growing pharmacy team. If you have previous retail specialty experience, we would love to...

Smilow Cancer Hospital

Nurse - Operating Room Nurse Job at Smilow Cancer Hospital

 ...to their patients. As an integral member of the Yale New Haven Health System (YNHHS) healthcare team, the Registered Professional Nurse (RN) upholds the YNHHS mission, vision, values and strategic initiatives to provide the highest level of patient centered care. The... 

All And Inclusive Environmental

Class B Vacuum Truck Operator Job Job at All And Inclusive Environmental

Class B Vacuum Truck Operator JobOperation of vacuum trucks, Vactors, and box trucks for environmental work Pay: $23.00 per hour .How to apply for this Driving JobFill out a Gary's Job Board application. That same application can be used to apply to as many jobs...