RN Clinical Reviewer Job at GreenLife Healthcare Staffing, Westbury, NY

Y1BXK1ZGRFc2WC9JVTRYbStUK1FHMEZ5V0E9PQ==
  • GreenLife Healthcare Staffing
  • Westbury, NY

Job Description

RN Clinical Reviewer / IDR

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

About Greenlife Healthcare Staffing:

Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals.

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?

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

Key Responsibilities:

  • 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

Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives

Job Tags

Hourly pay, Full time, Private practice, Work at office, Remote work,

Similar Jobs

Arkadium

Game Designer (New York) Job at Arkadium

 ...than 20 years, weve been behind some of the worlds most-played games, from the classic Solitaire that came with Windows to hundreds...  ...consistently recognized as a Best Place to Work - not your typical games company. The Opportunity Arkadium is seeking a creative and... 

Pacer Group

Skilled Nursing CNA - Direct Hire Job at Pacer Group

 ...Comments:Facility: GSS Canistota Location: Canistota, SD Position: CNA Specialty: LTC Desired Start Date: ASAP Shift Information: Days/...  ...Education: CNA Required Certifications: CNA Desired Skills: Hiring Wage: 19.00 - 25.50 Relocation Bonus: - Sign On Bonus; $5,000... 

Aulani, A Disney Resort & Spa

Massage Therapist-$16.25/Hour + Commission & Gratuities Job at Aulani, A Disney Resort & Spa

 ...effective Possess complete knowledge of all services and products while educating and training guests. Uphold the standards of sanitation and sterilization as directed by law and the spas policies and procedures Perform prep work and properly clean and restock... 

Elegant Enterprise-Wide Solutions, Inc.

Security Analyst - InPerson Interview Job at Elegant Enterprise-Wide Solutions, Inc.

 ...Job Description About this Position: Job Title: Security Analyst Objectives: Identify areas demonstrating critical risk that should have the immediate attention and each solution client, and its subsidiaries resources for risk mitigation. Provide recommendations... 

American Honda Motor Co., Inc.

New Model Parts Quality Engineer Job at American Honda Motor Co., Inc.

 ...Shift: 1st Workstyle: Onsite Career Level:4 Job Grade: Exempt-2 Job Purpose The Quality Engineer will manage New Model project activity and review supplier part & process maturation to meet New Model project timing and successful mass production launch...