• Job Description

  Req#:

  RN Clinical Reviewer / IDR - Remote to Office-Based Setting - Jericho, NY (#25293)
  

  Location: Hybrid (Remote to Office-Based) - Jericho, NY
  Employment Type: Full-time
  Hourly Rate: For remote, it's $50/hr, and as soon as the candidate transitions into an office-based position, the rate will be increased to $60/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 seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a Non-profit organization located in New York. This hybrid role combines remote work with office-based responsibilities, focusing on conducting comprehensive medical-legal reviews and appeals for a respected non-profit organization.

  Why Join Us?
  

  • Competitive Compensation: For remote, it's $50/hr, and as soon as the candidate transitions into an office-based position, the rate will be increased to $60/hr.
  • Comprehensive Benefits:
    • Paid Vacation (after 6 months 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, Hybrid (Remote to Office-Based)
  • 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

  How to Apply: If you are ready to advance your career, 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

• About the company

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