About the role
Registered Nurse Clinical Reviewer / IDR – Jericho, NY (#25154D)
- Location: Jericho, NY
- Employment Type: Full-time
- Hourly Rate: $60/hr (based on experience)
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 currently seeking a Registered Nurse Clinical Reviewer / IDR to fill an opening with a Non-profit organization located in Jericho, New York. This role is ideal for an experienced RN with a utilization review or appeals background who thrives in a collaborative, independent, and deadline-driven environment.
Why Join Us?
- Work Schedule: Full-time position.
- Professional Growth: Gain valuable experience in independent dispute resolution (IDR), medical-legal review, and appeals within a supportive non-profit setting.
- Impactful Work: Contribute to a mission-driven organization dedicated to improving patient outcomes through fair, evidence-based clinical determinations.
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.
Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives
Requirements
Qualifications:
- Education: Baccalaureate degree in Nursing or graduate of an approved Registered Professional Nurses training program.
- Licensure: Must be licensed as a Registered Professional Nurse in New York State.
- Experience:
- 1–3 years of experience in utilization review and/or appeals background required.
- Must have at least 3 years of experience in Med-Legal review setting.
- Technical Skills: Knowledge and experience with electronic medical records (EMR).
- Soft Skills:
- Ability to oversee, problem-solve, and work collaboratively with peers, medical, analytical, and administrative support staff.
- Excellent written and verbal communication skills.
- Ability to work independently with little supervision.
- Ability and desire to be flexible, innovative, and creative.
- Ability to meet deadlines in a time-sensitive environment.
Benefits
- Competitive Compensation: Earn a competitive rate of $60 per hour based on experience.
- 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 (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
- 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.
About the company
Greenlife Healthcare Staffing
Greenlife was born out of a critical need to address the complex challenges of sourcing healthcare employees. Recognizing the difficulties healthcare facilities faced in finding qualified, dedicated professionals, we set out to streamline the recruitment process, aiming to match the right candidates with the right positions efficiently and effectively. We found that spending additional time carefully onboarding employees is essential for boosting retention rates and improving overall employee satisfaction. By focusing on a more thorough and engaging onboarding experience, we are able to facilitate smoother transitions for new hires and also lay the foundation for a more fulfilled and committed workforce, thereby elevating the standard of care provided to patients. We are dedicated to boosting the careers of every medical professional who works with us and, by extension, increasing employee satisfaction throughout each of our client facilities.
Perks & benefits
- 401k
- Medical Insurance
- Paid Time Off
- Pension Matching
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