Job Description
Registered Nurse Clinical Reviewer / IDR - Lake Success or Albany, NY (#25154)
Minimum of 3 years experience in a medical review setting
Greenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer to fill an opening with a Non-profit organization located in Lake Success or Albany, New York
Schedule of the Registered Nurse Clinical Reviewer:
- This is a Full-time position (6 months contract)
- The contract may be extended beyond six months, contingent upon client demand and the employee's performance
Responsibilities of the Registered Nurse Clinical Reviewer:
- Conduct reviews up to and including the appeal level. This includes chart screens, 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
Greenlife Healthcare Staffing is a nationwide recruitment agency, matches both new grads and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices.
Requirements
- Must have a Baccalaureate degree in Nursing or graduate of an approved Registered Professional Nurses training program and be licensed to practice in the State of New York.
- Must have at least 3 years of experience in a Med-Legal review setting.
- Must be licensed as a Registered Professional Nurse in New York State.
- Must have knowledge and experience with electronic medical records.
- Must have the ability to oversee, problem-solve, and work collaboratively with peers, and medical, analytical, and administrative support staff.
- Must have excellent written and verbal skills.
- Must have the ability to work independently with little supervision.
- Must have the ability and desire to be flexible, innovative, and creative.
- Must have the ability to meet deadlines in a time-sensitive environment.
- Must have 1-3 years of experience in acute care utilization review/appeals background
Benefits
- The salary for this position is $55 / hr
Job Tags
Full time, Contract work, Private practice, Flexible hours,