Greenlife Healthcare Staffing

Registered Nurse Clinical Reviewer / IDR

Greenlife Healthcare Staffing

full-time

Posted on:

Location Type: Remote

Location: New York • United States

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Salary

💰 $50 per hour

About the role

  • - 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

Requirements

  • - **Education:** Baccalaureate degree in Nursing or a graduate of an approved RN program
  • - **Licensure:** Current New York State RN license
  • - **Experience:** 3+ years in Med-Legal review setting; 1-3 years in acute care utilization review/appeals
  • - **Technical Skills:** Experience with electronic medical records; strong research and documentation abilities
  • - **Soft Skills:** Excellent written/verbal communication; ability to work independently and collaboratively; flexible, innovative, and creative; the ability to oversee, problem solve, and work collaboratively with peers, medical, analytical, and administrative support staff; meets deadlines in time-sensitive environments
Benefits
  • - **Competitive Compensation:** Earn $50 per hour
  • - **Comprehensive Benefits:**
  • - 1 Week of Paid Vacation based on accruals **after 6 months of employment** (2 weeks of Paid Vacation with accrual starting your second year of employment)
  • - 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.

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
Med-Legal reviewacute care utilization reviewelectronic medical recordsresearchdocumentation
Soft skills
written communicationverbal communicationindependent workcollaborative workflexibilityinnovationcreativityproblem solvingdeadline management
Certifications
New York State RN license