RN Clinical Reviewer / IDR - Remote to Office-Based Setting Job at GreenLife Healthcare Staffing, Jericho, NY

ei9vV3ZvUGN3a0NaVlRXWktlbUJjUGdXUWc9PQ==
  • GreenLife Healthcare Staffing
  • Jericho, NY

Job Description

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

Job Tags

Hourly pay, Full time, Temporary work, Private practice, Work at office, Flexible hours,

Similar Jobs

Lap of Love

Call Center Representative Job at Lap of Love

 ...Join Lap of Love as a Call Center Representative and Love What You Do! Lap of Love is looking for an experienced Call Center Representative, referred to internally as a Veterinary Care Coordinator, with amazing customer service skills to join our growing team. As a... 

NurseCore

Home Care Nurse Job at NurseCore

 ...Hiring: Pediatric LPN or RN Private Duty Nursing Location: St.Pete Shift: 7:00 AM 7...  ...: 17-year-old child with specialized care needs Pay range -$28-$33 We are seeking...  ...Nurseto provide one-on-one, in-home care for a pediatric client. The ideal candidate... 

Bon Secours Mercy Health

Student Nurse or Patient Care Tech (PCT) - Acute Rehab Unit (ARU) - Anderson Hospital Job at Bon Secours Mercy Health

 ...exceptional team and help us continue to provide the highest quality of health care possible to our communities. Clinical Nursing Student or Patient Care Tech (PCT) - Acute Rehab Unit (ARU) - Anderson Hospital Job Summary The Clinical Nursing Student provides direct... 

NTT DATA, Inc.

Helpdesk Associate - Technical Troubleshooting Job at NTT DATA, Inc.

 ...thinking organization, apply now. We are currently seeking a Helpdesk Associate - Technical Troubleshooting to join our team in Noida...  ...tailored to each clients needs. While many positions offer remote or hybrid work options, these arrangements are subject to change... 

Quantum Functional Medicine

Medical Scribe Job at Quantum Functional Medicine

 ...Job Summary We are seeking a Medical Scribe to join our team. In this role, you will gather and document information about clients for their doctors visits. Responsibilities include printing lab reports, completing summaries of treatment sessions, charting doctor...