JOB TITLE ( 25026 ): Registered Nurse Clinical Reviewer / IDR - New Hyde Park, NY Minimum of 3 years experience in a medical review setting Greenlife Healthcare Staffing is currently seeking a Registered Nurse Clinical Reviewer to fill an opening with a Non-profit organization located in New Hyde Park, 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. Must have at least 3 years of experience in a Med-Legal review setting. 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, and 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 acute care utilization review/appeals background Benefits of the Registered Nurse Clinical Reviewer : The salary for this position is $50 / hr This is a Full-time position 2 Weeks Vacation 6 Major Holidays 5 Sick days License Reimbursement 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. Participate in collaborative training Other activities as may be deemed necessary Greenlife Healthcare Staffing is a nationwide recruitment agency, matches both new grads and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices. If you would like to learn more about other opportunities we offer, please call our office: (800) 608-4025 or submit your Resume/CV to hrglhstaffing.com
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