Job description
We’re Hiring: Registered Nurse – Independent Dispute Resolution (IDR)
Remote | 🕘 Monday–Friday, 9:00 AM – 5:00 PM (flexibility available)
Contract through September 30, 2026
We are seeking a detail-oriented and experienced Registered Nurse (RN) to support State and Federal Independent Dispute Resolution (IDR) processes. This role plays a critical part in ensuring accurate clinical reviews, fair determinations, and compliance with regulatory requirements.
Responsibilities
- Perform comprehensive clinical reviews through the appeal level, including chart screening and documentation analysis
Compile regulatory guidance and research payer requirements
Complete electronic worksheets and prepare final case determinations
Support Medical Review Analysts and Physician Consultants in the IDR process
Serve as a resource for clinical and administrative staff, offering guidance and clarification
Provide training, mentoring, and onboarding support for new RNs
Participate in team huddles, collaborative trainings, and process improvement initiatives
Conduct claims assessment and adjudication
Contribute to additional project activities as needed
Requirements
- Active New York Registered Nurse (RN) license (required)
Bachelor’s Degree in Nursing (BSN) or graduate of an approved RN program
Minimum of 2 years of clinical experience (inpatient or outpatient)
Experience with electronic medical records (EMR) systems
Strong analytical, problem-solving, and collaboration skills
Excellent written and verbal communication
Ability to work independently in a fast-paced, deadline-driven environment
Adaptable, flexible, and solutions-oriented mindset
What You’ll Bring: Clinical expertise combined with strong attention to detail
Ability to interpret medical documentation and regulatory requirements
A collaborative approach to working with cross-functional teams
A passion for ensuring accuracy, fairness, and quality in healthcare determinations
About Medix™
Medix provides workforce solutions to clients and creates opportunity for talent in the Healthcare, Life Sciences, Engineering and Technology fields.
Through our core purpose of positively impacting lives, we have earned our reputation as an industry leader by providing unsurpassed customer service and top quality professionals to our clients.
