Greenlife Healthcare Staffing

Registered Nurse Clinical Reviewer

Greenlife Healthcare Staffing

full-time

Posted on:

Location Type: Remote

Location: New York • United States

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Salary

💰 $50 per hour

Job Level

Junior

About the role

  • Conduct utilization reviews up to and including the appeal level, including chart screens, completing electronic worksheets, and making level one denial decisions when necessary.
  • Perform quality and clinical study data collection reviews, which involve detailed chart reviews and completing electronic data worksheets.
  • Act as a resource for administrative staff by providing training, technical assistance, problem-solving, and clarifying procedures.
  • Participate in collaborative training specific to clinical study objectives and staff huddles.
  • Perform other duties as assigned to support the team and organizational goals.

Requirements

  • Education: Graduate of an accredited nursing program.
  • Licensure: Must have an active and unrestricted New York State Registered Nurse (RN) license.
  • Experience: 1-3 years of experience in acute care utilization review and appeals.
  • Technical Skills: Proficient with computers; familiar with Microsoft Outlook, spreadsheets (Excel), and Word.
  • Soft Skills: Strong analytical, problem-solving, and communication skills. Ability to work independently and act as a resource for administrative staff.
Benefits
  • Competitive Compensation: Earn a highly competitive hourly rate of $50.
  • Comprehensive Benefits:
  • 1 Week of Paid Vacation based on accruals after 3 months of employment (2 weeks of Paid Vacation with accrual starting your second year of employment)
  • 6 Major Paid Holidays per year based on accruals after 3 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
  • 401k 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 & Tools
utilization reviewclinical study data collectionchart reviewselectronic data worksheetsdenial decisions
Soft Skills
analytical skillsproblem-solving skillscommunication skillsindependencetraining
Certifications
New York State Registered Nurse (RN) license