Registered Nurse Clinical Reviewer / IDR Job at GreenLife Healthcare Staffing, Westbury, NY

WHN3WXp2eHpDeFBTMnpMckVnZWdjeXdRQXc9PQ==
  • GreenLife Healthcare Staffing
  • Westbury, NY

Job Description

Registered Nurse Clinical Reviewer / IDR

Location: Remote to Office-Based, Jericho, NY

Employment Type: Full-time

Hourly Rate: $50/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 currently seeking a Registered Nurse Clinical Reviewer to fill an opening with a Non-profit organization located in Jericho, NY. This remote to office-based position involves conducting comprehensive medical-legal reviews, research, and appeals while ensuring regulatory compliance and producing accurate final determinations for a respected non-profit organization.

Why Join Us?

Work Schedule: Full-time, Remote to Office-Based position

Professional Growth: Gain valuable experience in medical-legal review and dispute resolution processes

Impactful Work: Contribute to fair and accurate resolution of 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

Business Needs Inc

CCIE Network Engineer Job at Business Needs Inc

 ...Title: CCIE Network Engineer # Open (if applicable): 1 Max Submittals (if applicable): na Location 10 Park Plaza, Room...  ...consultant duties? NO. Experience and Skills Cisco product line VXLAN, EIGRP, and BGP expertise Person... 

Paragon Staffing

Reach Truck Operator Job at Paragon Staffing

 ...connecting job seekers with employers who are seeking temporary, contract, or permanent positions. Responsibilities: Operate a stand-up reach truck to move, stack, and store pallets of merchandise throughout the warehouse. Load and unload materials from trucks and... 

HealthPRO Heritage

School-Based Physical Therapist (PT) Job at HealthPRO Heritage

 ...Overview Calling PT's / Physical Therapists Physical Therapist Medical Therapy Unit (MTU)...  ...provided Ongoing clinical support Team-based, student-focused care If youre...  ...Time, W2, with generous PTO accrual for school breaks etc Annual Salary from $94,00... 

The Regents of the University of California

Medical Clinic Administrative Assistant II Remote/Hybrid Job at The Regents of the University of California

 ...clinical setting. Candidates should have strong typing and organizational skills, along with the ability to maintain a professional atmosphere. This position offers a salary range of $26.42 - $37.49 hourly, and flexibility for onsite or remote work. #J-18808-Ljbffr... 

Novant Health

Cardiovascular Invasive Specialist Cath Lab Job at Novant Health

 ...Job Description What We Offer: Cardiovascular Invasive Specialist Location: Forsyth Medical Center, Winston-Salem, NC Department: Cardiac Catheterization Lab Schedule: Full-Time, Monday-Friday, 6:45 AM to 3:15 PM (No weekends, no holidays) On-Call...