Registered Nurse – Clinical Reviewer

Job not on LinkedIn

November 24

🗽 New York – Remote

Although this job is listed in New York, this company may be open to hiring remote in other states.

💵 $45 - $50 / hour

⏰ Full Time

🟢 Junior

🔍🏥 Medical Reviewer

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Greenlife Healthcare Staffing

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Greenlife Healthcare Staffing is a New York based healthcare recruitment agency specializing in permanent hires and locum tenens. We match physicians and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices.

11 - 50 employees

📋 Description

• **Key Responsibilities:** • - Conduct utilization reviews up to and including the appeal level, including chart screens, completing electronic worksheets, and making level one denial decisions when necessary. • - Perform quality and clinical study data collection reviews, which involve detailed chart reviews and completing electronic data worksheets. • - Act as a resource for administrative staff by providing training, technical assistance, problem-solving, and clarifying procedures. • - Participate in collaborative training specific to clinical study objectives and staff huddles. • - Perform other duties as assigned to support the team and organizational goals.

🎯 Requirements

• **Qualifications:** • - **Education:** Graduate of an accredited nursing program. • - **Licensure:** Must have an active and unrestricted New York State Registered Nurse (RN) license. • - **Experience:** 1-3 years of experience in acute care utilization review and appeals. • - **Technical Skills:** Proficient with computers; familiar with Microsoft Outlook, spreadsheets (Excel), and Word. • - **Soft Skills:** Strong analytical, problem-solving, and communication skills. Ability to work independently and act as a resource for administrative staff.

🏖️ Benefits

• - **Competitive Compensation:** Earn a highly competitive hourly rate of $45 - $50. • - **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 • - 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 • - 401k 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.