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

WUtGMm1wUjJRc2dJRUppSWYxOHIzUm42WHc9PQ==
  • 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,

Similar Jobs

M Health Fairview University of Minnesota Medical Center - U...

Ophthalmology - Physician - Academics Job at M Health Fairview University of Minnesota Medical Center - U...

 ...Ophthalmology - Physician - Academics at M Health Fairview University of Minnesota Medical Center - University of Minnesota Physicians summary: This academic physician role in ophthalmology focuses on clinical care, education, and research within neuro-ophthalmology... 

BAYADA Home Health Care

Registered Nurse - Home Health Visits Senior Living Job at BAYADA Home Health Care

 ...have a Per Diem Registered Nurse opportunityopen now doing Home Health Visits in Senior Living communitiesthroughout Harrisburg and surrounding areas! Flexible schedules, 1:1 care, and great work/life balance. Join us today! Registered Nurse (RN) Benefits: BAYADA... 

Peer Consulting Resources Inc.

Sr. Elastic Security Engineer Job at Peer Consulting Resources Inc.

 ...Contact Details: 1.Harika Mamidala Email: ****@*****.*** Cell: (***) ***-**** Job Title: Sr. Elastic Security Engineer Location: NYC, NY (Hybrid Role) Duration: 12 Months+ Years of Experience: 10+ Years Required Hours... 

Care Alliance

Lead Dental Assistant Job at Care Alliance

 ...change through outreach, advocacy, and partnerships. Job Summary: We are seeking a highly organized and motivated Lead Dental Assistant (DA) to join our organization. This role combines clinical chair-side assisting with administrative responsibilities to... 

A&M Technologies, Inc.

Sr. Elastic Engineer Job at A&M Technologies, Inc.

 ...Desired Skills Experience with other search technologies (e.g., Solr, Lucene). Certifications in relevant technologies (e.g., Elastic Certified Engineer, Elastic Observability Engineer). Experience in a DevOps or Site Reliability Engineering role At least...