Registered Nurse Clinical Reviewer Job at Greenlife Healthcare Staffing, Lake Success, NY

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  • Greenlife Healthcare Staffing
  • Lake Success, NY

Job Description

(Only QUALIFIED Healthcare Professionals accepted) Nurse - Registered Nurse Clinical Reviewer | IDR - Lake Success, NY (#25210)

Location: Lake Success, NY
Employment Type: Full-Time (6-Month Contract)
Hourly Rate: $60

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 a Registered Nurse Clinical Reviewer to support a non-profit organization in Lake Success, NY. This role involves conducting clinical reviews, appeals, and regulatory research to ensure compliance and optimize patient care outcomes. Ideal candidates will thrive in a collaborative, mission-driven environment focused on healthcare advocacy and utilization review.

Why Join Us?
?Competitive Compensation: Earn $60|hour (based on experience).
?Work Schedule: Full-time hours during a 6-month contract period with the potential of contract extension based on the employee's performance and the client's needs.
?Professional Growth: Develop expertise in utilization review, regulatory compliance, and interdisciplinary collaboration.
?Impactful Work: Contribute to equitable healthcare access and patient advocacy in a non-profit setting.

Qualifications:
?Education: Must have a Baccalaureate degree in Nursing or graduate of an approved Registered Professional Nurses training program
?Licensure: Active New York State RN license.

Experience:
?Must have knowledge and experience with electronic medical records.
?Must have the ability to oversee, problem-solve, and work collaboratively with peers, 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 a utilization review|appeals background
?Soft Skills: Strong problem-solving, independent work ethic, creativity, and deadline-driven focus.

Key Responsibilities:
?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

How to Apply:
If you are a detail-oriented RN with a passion for healthcare advocacy, submit your Resume|CV to hr@glhstaffing.comor call (800) 608-4025.

Job Tags

Hourly pay, Full time, Contract work, Private practice, Flexible hours,

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