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
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