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RN Clinical Reviewer IDR Remote to Office-Based Setting
RN Clinical Reviewer IDR Remote to Office-Based SettingGreenLife Healthcare Staffing • Jericho, Vermont, USA
RN Clinical Reviewer IDR Remote to Office-Based Setting

RN Clinical Reviewer IDR Remote to Office-Based Setting

GreenLife Healthcare Staffing • Jericho, Vermont, USA
5 days ago
Job type
  • Full-time
  • Remote
Job description

RN Clinical Reviewer / IDR - Remote to Office-Based Setting - Jericho NY (#25293)

Location : Hybrid (Remote to Office-Based) - Jericho NY

Employment Type : Full-time

Hourly Rate : For remote its $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

  • Competitive Compensation : For remote its $50 / hr and as soon as the candidate transitions into an office-based position the rate will be increased to $60 / hr.
  • Comprehensive Benefits :

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 disputes
  • Qualifications :

  • 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 skills
  • 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
  • How to Apply : If you are ready to advance your career we want to hear from you! Submit your Resume / CV to or call our office at to learn more about this opportunity.

    Greenlife Healthcare Staffing - Empowering Healthcare Professionals Enriching Lives

    Key Skills

    Facilities Management,Banking,Content Writing,Customer Support,Fun,Airlines

    Experience : years

    Vacancy : 1

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    Rn Clinical Reviewer • Jericho, Vermont, USA

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