Registered Nurse Clinical Reviewer Job at Greenlife Healthcare Staffing, Albany, NY

VTBzVWd4bjlwRkJMZmU5cTBqbU42MUFVSkE9PQ==
  • Greenlife Healthcare Staffing
  • Albany, NY

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,

Similar Jobs

True Connection Communities

Executive Director Job at True Connection Communities

 ...Job Purpose The Executive Director uses strong analytical skills and an in-depth understanding of the organization and the business to handle problems and issues. The Executive Director is responsible for oversight of the coordination, and evaluation of resident service... 

33 USA Inc.

Social Media Marketing Lead Job at 33 USA Inc.

 ...Position Summary The Social Media Lead is a client-facing role responsible...  ...execution of social media marketing campaigns for entertainment...  ...Common Job Functions Work collaboratively with team members...  ...Maternity, Paternity) Hybrid Working Style (Work From Home)... 

Be Fit

Healthcare Wellness Consultant Job at Be Fit

 ...to get that career change you have been craving This is a remote sales position who has a passion for marketing, as well as teaching...  ...We are now interviewing for self-motivated, qualified consultants to help enroll clients into our wellness programs. Must have... 

Amtrak

Road Foreman I - 90039365 - Baltimore Job at Amtrak

 ...Amtrak a company of the future. SUMMARY OF DUTIES: The Road Foreman ensures safe and efficient train make-up, commuter, road...  ...ensure compliance and maintain employee records. Ensure engine crews attend training classes, documenting and reporting training;... 

Whittlesea Checker Taxi

Independent Contract Taxi Driver - Reno, NV Job at Whittlesea Checker Taxi

Looking for a career change? Need to make more money? Need a flexible schedule? Become a Professional Driver. Whittlesea Taxi is a local company providing professional transportation to area residents and businesses. There are many driving options out there, but only...