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Job Description RN Clinical Reviewer - Jericho or Albany, NY (#25332) • Location: Jericho orAlbany, NY, • Employment Type: Full-time, Temp-to-hire (5 days a week), • Hourly Rate: $60/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 a meticulous Clinical Reviewer Registered Nurse. This individual will work under the direction of the supervisor of the team performing clinical reviews and abstractions of assigned cases related to a maternal death or to an adverse event that occurred during an outpatient surgical procedure. This temp-to-hire role is ideal for an experienced RN with a strong OB/maternal health background and a passion for quality improvement and patient safety. Why Join Us? • Competitive Compensation: Earn a competitive rate of $60 per hour., • Comprehensive Benefits:, • 5 Sick Days (40 hours) subject to the provisions of the NYS Paid Sick Leave Act, • Health Insurance subject to plan eligibility requirements, • Work Schedule: Full-time position, 5 days per week, with a temp-to-hire structure., • Professional Growth: Gain valuable experience conducting high-stakes clinical reviews for the NYS Department of Health, enhancing your expertise in quality improvement and maternal health., • Impactful Work: Contribute to a mission-driven organization dedicated to improving patient outcomes by identifying and analyzing critical events in maternal care and outpatient surgical procedures. Key Responsibilities: • Conduct clinical reviews of medical records from a variety of sources as well as other documents crucial to the review as appropriate., • Develop and draft narrative summaries of clinical reviews performed in the form(s) required by NYS Department of Health (the Department)., • Track case status in Excel and other databases as required by the Department., • Other activities as may be deemed necessary in response to the changing needs of the department. Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives Requirements Qualifications: • Education: Baccalaureate degree in Nursing or graduate of an approved Registered Professional Nurses training program., • Licensure: Current licensure as a registered professional nurse in New York State., • Experience:, • A minimum of four years of clinical practice experience in a facility or community-based setting, including medical, surgical, and/or obstetrical experience., • Minimum of two years of acute care hospital experience., • Experience in an acute or ambulatory care healthcare facility reviewing charts for the purpose of quality improvement or utilization review, preferred., • Knowledgeable of current disease/care management/coordination trends, preferred., • Must have OB/maternal health background., • Skills:, • Strong analytical and communication (both written and verbal) skills., • The ability to work independently, as well as in a team environment., • The ability to prioritize reviews and projects to be completed., • Proficient in the use of standard office technology and basic Microsoft applications including Word and Excel., • Ability to gather and analyze information from records, reports, and other sources.

Job Description Registered Nurse Clinical Reviewer / IDR – Jericho, NY (#25154D) • Location: Jericho, NY, • Employment Type: Full-time, • Hourly Rate: $60/hr (based on experience) 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 / IDR to fill an opening with a Non-profit organization located in Jericho, New York. This role is ideal for an experienced RN with a utilization review or appeals background who thrives in a collaborative, independent, and deadline-driven environment. Why Join Us? • Competitive Compensation: Earn a competitive rate of $60 per hour based on experience., • 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 position., • Professional Growth: Gain valuable experience in independent dispute resolution (IDR), medical-legal review, and appeals within a supportive non-profit setting., • Impactful Work: Contribute to a mission-driven organization dedicated to improving patient outcomes through fair, evidence-based clinical determinations. Qualifications: • Education: Baccalaureate degree in Nursing or graduate of an approved Registered Professional Nurses training program., • Licensure: Must be licensed as a Registered Professional Nurse in New York State., • Experience:, • 1–3 years of experience in utilization review and/or appeals background required., • Must have at least 3 years of experience in Med-Legal review setting., • Technical Skills: Knowledge and experience with electronic medical records (EMR)., • Soft Skills:, • Ability to oversee, problem-solve, and work collaboratively with peers, medical, analytical, and administrative support staff., • Excellent written and verbal communication skills., • Ability to work independently with little supervision., • Ability and desire to be flexible, innovative, and creative., • Ability to meet deadlines in a time-sensitive environment. Key Responsibilities: • Conduct reviews up to and including the appeal level. This includes chart screens, 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 Description In the Clinical Reviewer RN (Proofer) role, you will review all NYS Dispute Resolution and External Review determinations for accuracy of decisions, mathematical determinations, content, grammar, punctuation and state required conventions. The Clinical Reviewer RN (Proofer) will utilize their clinical knowledge and editorial skills to produce a final, clean copy for each case determination. This individual will track errors and retrain clinical and administrative staff to mitigate production errors. This position is based in IPRO's Headquarter office located in Jericho, NY. QUALIFICATIONS: • Evidence of medical proofing, editing skills including professional writing and/or publishing., • Knowledge and experience with electronic medical records including coding, quality, and clinical charting., • Ability to oversee, problem solve and work collaboratively with peers, medical, analytical, and administrative support staff., • Excellent communication and verbal skills., • Ability to work independently with little supervision., • Ability and desire to be flexible, innovative, and creative., • Post graduate studies demonstrating proficiency in writing, editing and proofing skills EDUCATION & EXPERIENCE: • Licensed as a Registered Professional Nurse in New York State., • Bacholer's degree in Nursing OR graduate of an approved Registered Professional Nurses training program and licensed to practice in the State of New York, required., • Two (2) year’s experience in an acute care facility required, preferably in medicine/surgery or special care units; AND/OR one to three year’s experience in acute care utilization review, required. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The hourly range for this position is $36.0577 – $43.2692. Actual salary range and /or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, protected veteran status or military status, or any other category protected under applicable law.

Job Description As the Clinical Reviewer, you will be responsible for the review and processing of all requests for Independent Reviews from External Agencies in accordance with contractual guidelines. Upon receipt of the electronic medical records, communicate with contractors, providers and beneficiary/representatives. Duties include but are not limited to: Performing case reviews utilizing regulatory guidelines criteria and clinical knowledge for medical necessity and quality of care issues; formulate a case summary and the review questions for the Physician Reviewer based upon the External Agency’s concern(s), reviewing physician determinations, ensuring all categories of concern have been addressed and preparing written correspondences to contractors, providers and beneficiaries/representatives. This is a full-time position based in the Jericho, NY office. Ability to work remotely one day per week after introduction period. QUALIFICATIONS: • The ability to interact with providers, internal/external customers and representatives., • Excellent communication skills (both verbal and writing) with a professional demeanor, • The ability to work independently, as well as in a team environment., • Excellent time management/ prioritization skills to meet contractual deadlines while maintaining a high level of quality work to meet customer satisfaction and standards., • Strong clinical critical thinking skills, • Advanced skills and knowledge of standard EHR applications, office technology and, • Microsoft applications including Word, Excel, and PowerPoint., • Ability to handle sensitive and confidential information. EDUCATION & EXPERINCE: • Licensed Registered Nurse, required (open to any RN state license)., • Graduate of a School of Nursing, required., • Bachelor of Science in Nursing (BSN), required, • A minimum of three (3) years clinical experience in an acute care setting or related experience, required., • Experience in utilization and quality reviews, required., • Experience in managed care, quality management and peer review, preferred. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The hourly range for this position is $38.46 – $43.27. Actual salary range and /or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.

Duties include but are not limited to: Performing case reviews utilizing regulatory guidelines criteria and clinical knowledge for medical necessity and quality of care issues; formulate a case summary and the review questions for the Physician Reviewer based upon the External Agency's concern(s), r

Job Description As a Coding Reviewer, you will be responsible for the general coding validation and verification and preparation of independent dispute resolution reviews from external state and federal agencies in accordance with reporting requirements. Duties include but are not limited to: • Confirm and verify submitted codes for DRG validation., • Apply national coding standards and regulations to the claims and clinical data., • Provide subject matter input and support agency-wide projects., • Other duties as assigned. This position requires working on-site at the Jericho, NY office. Qualifications: • Excellent interpersonal and communication skills, both written and verbal., • Ability to relate effectively with technical, medical, analytical and administrative personnel., • Proficiency in EHR applications, office technology, and Microsoft applications including Word, Excel, and PowerPoint., • Being able to handle sensitive and confidential information., • Ability to work in a team environment and independently. Education & Experience: • Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician (CCS-P) required., • Technical knowledge of coding and DRG validation with CPT, HCPCS experience and ICD-10 certification required, • Bachelor’s degree in healthcare administration or health information management preferred., • Minimum of two (2) years of experience abstracting and coding of outpatient medical records for billing., • Some experience in utilization reviews preferred. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The annualized salary range for this position is $65,000.00 – $70,000.00. Actual salary range and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.

A healthcare staffing firm is seeking a Clinical Reviewer (RN) for remote work in New York. Responsibilities include conducting clinical reviews and serving as a resource for staff training.

Position Overview :Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a Non-profit organization located in New York. RN Clinical Reviewer / IDR - Remote to Office-Based Setting - Jericho, NY (#25293)Location : Hybrid (Remote to Office-Based) - Je

RN Clinical Reviewer / IDR - Jericho, NY (#25309)Location:Jericho, NYEmployment Type:Full-timeHourly Rate:$60/hrAbout Greenlife Healthcare Staffing:Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. P

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Communicates and coordinates with physicians and/or clinical staff to ensure timely patient care.

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