Job Opportunity Details

Job ID Specialty Geographic Location City State Recruiter
2358444 Clinical Nurse Specialist New York, NY New York, NY NY Greenlife Healthcare Staffing

Company Name: Greenlife Healthcare Staffing
Recruiter Name: Jenille Harris
Contact Phone: 800-608-4025

Job Title: Registered Nurse/ Clinical Reviewer/ Remote

In HouseID:
Job #3774
Recruiter Email: hr@glhstaffing.com

Job Description

This is a Clinical Nurse Specialist Opportunity Only!

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New York, NY    (Only QUALIFIED Healthcare Professionals accepted) Clinical Nurse Specialist - JOB TITLE: Job #3774 - Registered Nurse| Clinical Reviewer| Remote – New York State

General Responsibilities:

This individual will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. Thus, conduct final level insurance appeals and will be reviewing medical records. They will utilize their knowledge and expertise of the review program to conduct a clinical level review, supporting Medical Review Analysts, and Physician Consultants to ensure an appropriate and accurate process.

Compensation and Benefits for the Registered Nurse| Clinical Reviewer| Remote:

The salary for this position is $45 per hour (Negotiable)

Benefits

Weeks Vacation
Major Holidays
Personal Days
Sick Days
license reimbursement
401K
Family Medical Leave
Schedule
Full-time – COMPLETELY REMOTE
Monday to Friday (9 AM-5:30 PM)
Saturday or Sunday meeting (occasuanally)

Requirements for Registered Nurse| Clinical Reviewer| Remote

Must have an active RN State license
Must have 1-3 years of experience in acute care utilization review|appeals background.
Must be comfortable working on a computer. Familiar with Outlook, spreadsheets, Word.

Responsibilities for Registered Nurse| Clinical Reviewer| Remote

Conduct utilization reviews up to and including the appeal level. This includes chart screen, completing electronic worksheets, entering the required information, and making level one denial decisions when necessary.
Conduct quality and clinical study data collection reviews. This includes a chart review, complete detailed electronic data worksheets.
Act as a resource for the administrative staff in training, problem-solving, and clarifying procedures. Will provide technical assistance and conduct|participate in staff huddles.
Participate in collaborative training specific to clinical study objectives.
Other activities as may be deemed necessary

Greenlife Healthcare Staffing is a nationwide recruitment agency, matching both new grads and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices.

If you would like to learn more about other opportunities we offer, please call our office: (800) 608-4025 or submit your Resume|CV to us.




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