Job #25188 - Registered Nurse / Clinical Reviewer / Remote - New York State - Greenlife Healthcare Staffing : Job Details

JOB TITLE (#25188): Registered Nurse / Clinical Reviewer / Remote - New York State

Minimum 1-3 years of experience in acute care utilization review/appeals background

Greenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer to fill an opening with a Non-profit organization located in New York

Requirements of the Registered Nurse Clinical Reviewer:

• Must have an active RN State license
• Must have 1-3 years of experience in acute care utilization review/appeals background.
• Must be comfortable working on a computer. Familiar with Outlook, spreadsheets, Word.

Benefits of the Registered Nurse Clinical Reviewer:

• The salary for this position is $45 - $50 / hr
• 2 weeks vacation
• Major holidays
• 5 sick days
• License reimbursement

Schedule of the Registered Nurse Clinical Reviewer:

• This is a Full-time position
• The is a remote position
• Monday to Friday (9:00 AM-5:30 PM)

Responsibilities of the Registered Nurse Clinical Reviewer:

• Conduct utilization reviews up to and including the appeal level. This includes chart screen, completing electronic worksheets, entering the required information, and making level one denial decisions when necessary.
• Conduct quality and clinical study data collection reviews. This includes a chart review, complete detailed electronic data worksheets.
• Act as a resource for the administrative staff in training, problem-solving, and clarifying procedures. Will provide technical assistance and conduct/participate in staff huddles.
• Participate in collaborative training specific to clinical study objectives.
• 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.

If you would like to learn more about other opportunities we offer, please call our office: (800) ###-#### or submit your Resume/CV to [email protected]