RN Clinical Reviewer / IDR - Remote to Office-Based Setting

Greenlife Healthcare Staffing is a nationwide healthcare recruitment agency that connects nurses and other clinicians with hospitals, clinics, nursing homes, and private practices.

RN Clinical Reviewer / IDR - Remote (#25310C) Location: Remote 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 seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a remote position at a Non-profit organization located in New York. Responsibilities, focusing on conducting comprehensive medical-legal reviews and appeals for a respected non-profit organization. Why Join Us? • Competitive Compensation: $50/hr. • Comprehensive Benefits: • 1 Week of Paid Vacation based on accruals after 3 months of employment (2 weeks of Paid Vacation with accrual starting your second year of employment) • 6 Major Paid Holidays per year (after 3 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 • 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 hr@glhstaffing.com or call our office at (800) 608-4025 to learn more about this opportunity. Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives