RN Clinical Reviewer
23 days ago
Jericho
Job Description RN Clinical Reviewer - Jericho, NY (#25314) • Location: Jericho, NY, • Employment Type: Full-time, • Hourly Rate: $45/hr - $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: We are seeking a skilled Registered Nurse Clinical Reviewer to join a team at a respected non-profit organization in Jericho, NY. This role combines clinical expertise with analytical review, focusing on utilization reviews, quality data collection, and appeal-level determinations to support healthcare quality improvement initiatives. Why Join Us? • Work Schedule: Full-time, Monday - Friday, • Professional Growth: Gain valuable experience in utilization review, quality improvement, and clinical data analysis, • Impactful Work: Contribute to a mission-driven organization dedicated to improving patient outcomes through rigorous clinical review processes Key Responsibilities: • Conduct utilization reviews up to and including the appeal level. This includes chart screens, complete electronic worksheets, enter required information and make level one denial decisions when necessary., • Conduct quality and clinical study data collection reviews. This includes 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 - Empowering Healthcare Professionals, Enriching Lives Requirements Qualifications: • Education: Baccalaureate degree in Nursing or graduate of approved Registered Professional Nurses training program, • Licensure: Active New York State RN license, • Experience:, • Must have a minimum of two years of experience in an acute care facility, preferably in medicine/surgery or special care units; and/or one to three years of experience in acute care utilization review., • Knowledge and experience with electronic medical records, including utilization, quality, and clinical charting., • Skills:, • Ability to oversee, problem solve and work collaboratively with peers, medical, analytical, and administrative support staff., • Excellent written and verbal skills., • Ability to work independently with little supervision., • Competitive Compensation: Earn $45 - $50 per hour, based on experience, • Comprehensive Benefits:, • 5 Sick Days (40 Hours) subject to the provisions of NYS Paid Sick Leave Act, • 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.