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 ActLicense Reimbursement after 1 year of employmentHealth insurance is subject to plan eligibility requirements401(k) Matching eligibility after 1 year of employmentBenefits from Paychex such as PayactivGLHS 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 resolutionImpactful 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 licenseExperience :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 capabilitiesSoft 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 trainingOther activities as may be deemed necessaryHow 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