Registered Nurse, Clinical Reviewer

Job not on LinkedIn

🔥 3 minutes ago

🗽 New York – Remote

🗽 New York – Remote

💵 $50 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔍🏥 Medical Reviewer

👻 Ghost score 8%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Greenlife Healthcare Staffing

WebsiteLinkedInAll Job Openings

11 - 50 employees

🎯 Recruiter

🏥 Healthcare

Recruitment • Healthcare

Greenlife Healthcare Staffing is a New York based healthcare recruitment agency specializing in permanent hires and locum tenens. They match physicians and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices. By collaborating closely with clients, Greenlife aims to understand their performance and reduce costs, while maintaining high-quality patient care. The company emphasizes integrity, honesty, and transparency in its operations, influencing careers and lives through their staffing solutions.

📋 Description

• Complete the full spectrum of activities related to Utilization or Quality reviews as assigned • Utilize review-program knowledge and expertise to conduct clinical-level review • Support Medical Review Analysts and Physician Consultants to ensure an appropriate and accurate process • Conduct utilization reviews up to and including the appeal level • Screen charts, complete electronic worksheets, enter required information, and make level-one denial decisions when necessary • Conduct quality and clinical study data collection reviews • Complete chart reviews and detailed electronic data worksheets • Act as a resource for administrative staff in training, problem-solving, and clarifying procedures • Provide technical assistance and conduct or participate in staff huddles • Participate in collaborative training specific to clinical study objectives • Perform other necessary activities as assigned

🎯 Requirements

• Baccalaureate degree in Nursing or graduate of an approved Registered Professional Nurses training program • Licensed as a Registered Professional Nurse in New York State • Minimum of two (2) years of experience in an acute care facility, preferably in medicine/surgery or special care units; and/or one to three (3) years of experience in acute care utilization review • Knowledge and experience with electronic medical records (EMR), including utilization, quality, and clinical charting • Experience with InterQual and Milliman (MCG) criteria • Proficiency in completing electronic worksheets and data entry • Ability to oversee, problem-solve, and work collaboratively with peers, medical, analytical, and administrative support staff • Excellent written and verbal communication skills • Ability to work independently with little supervision • Ability and desire to be flexible, innovative, and creative • Strong attention to detail and ability to meet deadlines in a time-sensitive environment

🏖️ 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 the 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 • 93% retention of employees 2 years+ • Remote work flexibility • Professional growth in utilization review, quality improvement, and clinical study data collection • Supportive non-profit environment • Mission-driven work contributing to improved patient outcomes