RN Clinical Reviewer / IDR - Remote to Office-Based Setting
RN Clinical Reviewer / IDR -Remote to Office-Based Setting - Jericho, NY (#25293)Location: Hybrid (Remote to Office-Based) - Jericho, NYEmployment Type: Full-timeHourly 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/hrAbout 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? • CompetitiveCompensation: 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. • ComprehensiveBenefits:• Paid Vacation (after 6 months of employment)• 6 Major Paid Holidays per year (after 6 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.• 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 disputesQualifications:• Education: Baccalaureate degree in Nursing or a graduate of an approved RN program. • Licensure: Current New York State RN license• Experience:• Must have at least 3 years of experience in a Med-Legal review setting. • Must have 1-3 years of experience in acute care utilization review/ appeals background.• Technical Skills: Experience with electronic medical records; strong research capabilities• Soft Skills: Excellent written/verbal communication; ability to work independently; flexible and innovative; meets deadlines in sensitive environments; strong collaborative and problem-solving skillsKey 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: If you are ready to advance your career, we want to hear from you! Submit your Resume/CV to [email protected] or call our office at (800) 608-4025 to learn more about this opportunity. Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching LivesRemoteAbout the Company:GreenLife Healthcare Staffing Apply tot his job