Clinical Reviewer Job at Greenlife Healthcare Staffing, New York, NY

NzlFUzJMQm5EMVZ5YnYzNzl4TlFLQUJ6M3c9PQ==
  • Greenlife Healthcare Staffing
  • New York, NY

Job Description

Registered Nurse Clinical Reviewer / IDR – Lake Success, NY (#25202) Greenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer to fill an opening with a Non-profit organization located in Lake Success, New York. Requirements of the Registered Nurse Clinical Reviewer: 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. Experience in a medical-legal review setting is preferred but not required. 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, 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 utilization review/appeals background. Benefits of the Registered Nurse Clinical Reviewer: The salary for this position is $60 / hr (based on experience). 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. Other activities as may be deemed necessary. Seniority level Associate Employment type Temporary Job function Health Care Provider Industries Medical Practices, Hospitals and Health Care #J-18808-Ljbffr Greenlife Healthcare Staffing

Job Tags

Full time, Contract work, Temporary work, Flexible hours,

Similar Jobs

Astreya

IT Specialist / IT Helpdesk / IT Support Job at Astreya

What this Job Entails: Inventory Technicians are responsible for providing the Astreya user experience. With duties from order tracking, accessories management, managing customer service, hardware and accessory deployment to front line users, conference room maintenance...

Wells

CDL B READY MIX DRIVER Job at Wells

 ...Description Job Description GENERAL DESCRIPTION Safely operate ready mix truck and deliver concrete to the forms in the Production Plant...  ...Have or have the ability to obtain a Class B Commercial Driver License with air brake endorsement Pass an ICC Physical and... 

Smith Industries, LLC

Pipe Welder Job at Smith Industries, LLC

 ...team player with high level of dedication. Experience as a pipe welder. Working knowledge of AWS, API, ANSI, and ASME codes and standards...  ...~ Company provided uniforms ~ Daytime schedule ~ No travel required ~ Work in a family environment ~ Position in an expanding... 

SysMind Tech

Google Cloud App Engineer Job at SysMind Tech

Role :: Google Cloud App EngineerLocation :: New York, NYDuration :: Contract (long term)Job Description::5+ years of experience developing software in one of the languages Java, Scala, C++ and/or Go;work or academic experience with Source Code Management (e.g. Git... 

Allegheny County Housing Authority

Police Officer Job at Allegheny County Housing Authority

 ...Job Description Job Description Purpose This full-time position, reporting to the Police Chief in the Authoritys Public Safety Department, is responsible for the safety and security of persons and properties of the Allegheny County Housing Authority (ACHA). Performs...