RN Clinical Reviewer / IDR - Remote to Office-Based Setting - Jericho, NYGreenlife Healthcare Staffing • Jericho, NY, US
RN Clinical Reviewer / IDR - Remote to Office-Based Setting - Jericho, NY
Greenlife Healthcare Staffing • Jericho, NY, US
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- [job_card.full_time]
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[job_card.job_description]6 Major Paid Holidays per year (after 6 months of employment) 5 Sick Days (40 Hours) subject to the provisions of NYS Paid Sick Leave Act License Reimbursement after 1 year of employment Health insurance is subject to plan eligibility requirements 401(k) Matching eligibility after 1 year of employment Benefits from Paychex, such as Payactiv GLHS is a great company to work for : 93% retention of employees 2 years+, Google reviews, great company culture, etc. Work Schedule : Full-time, Hybrid (Remote to Office-Based) Professional Growth : Gain valuable experience in medical-legal review and dispute resolution Impactful Work : Contribute to fair resolution processes in healthcare disputes Education : Baccalaureate degree in Nursing or a graduate of an approved RN program. Licensure : Current New York State RN license Experience : Must have 1-3 years of experience in acute care utilization review / appeals background. Technical Skills : Experience with electronic medical records; strong research capabilities Soft Skills : Excellent written / verbal communication; ability to work independently; flexible and innovative; meets deadlines in sensitive environments; strong collaborative and problem-solving skills Conduct reviews up to and including the appeal level. This includes chart screen, 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
RN Clinical Reviewer / IDR - Remote to Office-Based Setting - Jericho, NY (#25293)
Location : Hybrid (Remote to Office-Based) - Jericho, NY
Employment Type : Full-time
Hourly Rate : For remote, it's $50 / hr, and as soon as the candidate transitions into an office-based position, the rate will be increased to $60 / hr
Position Overview :
Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a Non-profit organization located in New York. This hybrid role combines remote work with office-based responsibilities, focusing on conducting comprehensive medical-legal reviews and appeals for a respected non-profit organization.
Why Join Us?
- Competitive Compensation : For remote, it's $50 / hr, and as soon as the candidate transitions into an office-based position, the rate will be increased to $60 / hr.
- Comprehensive Benefits :
Paid Vacation (after 6 months of employment)
Qualifications :
Must have at least 3 years of experience in a Med-Legal review setting.
Key Responsibilities :
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Rn Clinical Reviewer • Jericho, NY, US
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