Trabajos rn utilization review en Levittown, New YorkCrear alertas

$10,000 SIGN ON BONUS We are excited to expand our leadership team and are seeking experienced, motivated Clinical Managers to join our growing home health branches in Westbury, Hauppauge, and Riverhead, NY! Work Schedule: Full-time/40 Hours Position Type: On-site Branch Location(s): Westbury, Hauppauge, Riverhead This is NOT a remote or work-from-home position. You will sit on-site at one of our New York branch locations: Westbury, Hauppauge, Riverhead. As the RN Clinical Manager, you will oversee all direct care patient services provided by clinical personnel. You will be a focused on both home health clinical quality assurance and home health clinical operations plans. You will report to the Branch Director at the branch assigned to you. • Develop, plans, implements, analyzes, and organizes clinical operations for a specific location managed., • Conduct/delegate the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while following Company, physician, or health facility procedures., • Manage the assignment of caregivers., • Responsible for and oversees the delivery of care to all patients served by the location. Receive case referrals. Review available patient information related to the case, including disciplines required, to determine home health or hospice needs. Accountable to ensure patients meet admission criteria and make the decision to admit patients to service. Assign appropriate clinicians to a case., • Instruct and guide clinicians to promote more engaging performance and delivery of quality home care services and is available during operating hours to assist clinicians., • Assist clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing patient Plan of Care (POC)., • Monitor cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers. Ensure final audits/billing are completed and in compliance with Medicare regulations., • Coordinate communication between team members/attending physicians/caregivers to ensure the appropriateness of care and outcome planning., • Work together with the Branch Director and Company Finance Department to establish location's revenue and budget goals., • Participate in sales and marketing initiative., • Oversee all clinical employees assigned to a specific location. Responsible for the coordination, and evaluation of the location. Manage supervisory responsibilities following Company procedures., • Handle necessary employee corrective action and discipline issues fairly and objectively, with the Human Resources Department and the Executive Director/Director of Operations., • Participate in the interviewing, hiring and development of direct care clinicians. Evaluate their performance relative to job goals and requirements. Coach staff and recommends in-service education programs, when needed. Ensure adherence to internal policies., • Assess staff education needs based on the review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts regular staff education., • Analyze situations, identifies problems, evaluate alternative courses of action through the use of Performance Improvement principles., • Responsible for the QA/PI activities. Work with Utilization Review staff relative to data tracking for performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system and any other systems and process. Competently perform patient care assignments and staff management activities., • Provide direct patient care on an infrequent basis and only in times of emergency., • Step in as the Branch Director in their absence., • Interpret Company standards and Company procedures to ensure compliance with external regulatory authorities and ensure that caregiver clinical documentation meets internal standards., • Participate in performance improvement activities, maintain ongoing clinical knowledge through internal and external training programs. Provide interpretation of knowledge and direction to staff., • Maintain relationships with referral/community sources. Participate in professional organizations and conduct care-related programs. Required Experience/Skills: • Graduate of an accredited School of Nursing., • Current state license as a Registered Nurse., • Bachelors of Science in Nursing, • Certified Home health Agency experience is required (NY state requirement) or four years' CHHA experience along with six credit hours toward BSN., • Proof of current CPR., • Valid driver's license, auto insurance and reliable transportation., • Management and people leadership experience, preferred., • OASIS experience, required. OASIS certification (HCS-O, COQS, and/or COS-C), preferred., • Homecare Homebase (HCHB) experience, preferred., • CMS PDGM billing knowledge and/or experience, preferred. Additional Information • Normal Hours of Operation: M-F / 8a-5p (ET), • On-Call Expectation: As needed Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $92,600 - $127,400 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Job Title: Clinical Review RN (Maternal Mortality / Office Based Surgical Incidents) Hours: 40 hours a week between 7:30am-5:30pm EST Background: Must have strong clinical background in maternal health, NICU, OBGYN, L&D, Pediatrics, emergency medicine, inpatient. Must have strong writing skills. Pay: $38.46-43.26/hr Location: Jericho, NY (in office) Position Details: Looking for an RN with a strong clinical background (more details below) who has very strong written communication skills. Will be reviewing the documentation, medical records, and more to provide written clinical summaries to boards of review or other governing bodies. The nurses will all be a part of the same team and will work between the Maternal Mortality Project & Office Based Surgical Incidents. This individual will perform reviews of primary, preventative, and reproductive healthcare provided within school based health centers and family planning clinics, including conducting on-site observations of the clinics. The project requires an understanding and application of the associated regulations and guidelines, and use of standardized tools and databases. DUTIES: • Completes all pre-review activities, including review of previous monitoring information, and review of program documentation submitted., • Completes hybrid monitoring activities, including review of patient records and billing, for all required components and time frames., • Conducts site observation and staff interviews, and notes any deficiencies., • Provides technical assistance to program personnel, where appropriate., • Completes data management tools to draft provider monitoring report in accordance with monitoring findings., • Tracks status of documents and reviews in databases and other shared platforms. QUALIFICATIONS: • The ability to work independently, as well as in a team environment, and to prioritize reviews and projects to be completed., • Strong analytical and communication skills (both written and verbal)., • Ability to gather and analyze information from records, reports, and other sources., • Proficient in the use of standard office technology and basic Microsoft applications including Word, Excel, and Teams. EDUCATION & EXPERIENCE: • Qualified, and actively credentialed/registered in New York State, • A minimum of two (2) years of clinical practice experience in pediatric/adolescent/reproductive health care., • A minimum of two (2) years of experience reviewing charts for the purpose of quality improvement or utilization review. Maternal Mortality Project: Reviewing case records where a maternal death occurred. This is tracked by CMS for a federal database and it is also required by NYS. When a case occurs, it will be evaluated by the review board. This candidate will be reviewing all of the clinical documentation, phone interviews (conducted by the staff) with loved ones, and all other pertinent information leading up to the death. They average about 50 cases a year and there is not a set turnaround time, but they would make sure that it is fully evaluated. Office Based Surgical Incident Reviews: These are faster turnarounds and are reporting up to DOH. Will review the cases where unexpected surgeries had to happen in an office setting (can be across numerous outpatient settings).

Job DescriptionRegistered Nurse Clinical Reviewer / IDR - Jericho, NY (#25154D) Location: Jericho, NY. Employment Type: Full-time. Hourly Rate: $60/hr (based on experience). Position Overview: We are 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.

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.

Job Description Job Title: Registered Nurse – Care Manager (Emergency Department) Location: Bronx, NY Type: Contract | 14 Weeks Pay Rate: $55 - $60/hour Position Overview: Navitas Healthcare, LLC is seeking a Registered Nurse – Care Manager (Emergency Department) for an exciting Travel or Local job in Bronx, NY. Responsibilities Coordinate patient care planning and discharge processes within the Emergency Department. Conduct utilization reviews to ensure appropriate level of care and resource utilization. Collaborate with physicians, nursing staff, social workers, and case management teams. Facilitate safe and timely patient discharge planning and post-acute care coordination. Maintain accurate and timely documentation in compliance with hospital standards. Support care transitions by identifying patient needs and arranging appropriate services. Participate in interdisciplinary rounds and care conferences. Ensure compliance with regulatory, clinical, and organizational policies. Utilize electronic medical records and computer systems for documentation and reporting. Required Qualifications Minimum 5 years of clinical experience as a Registered Nurse. Strong experience in care coordination, utilization review, and discharge planning. Associate Degree in Nursing (ASN/ADN) from an accredited nursing program. Active New York State Registered Nurse License. BLS Certification. Computer literacy and proficiency with Electronic Medical Record systems. Primary Source Verification of RN License and Registration through NYSED. PRI and Screen Certification required within 3 months of employment. Preferred Qualifications Bachelor’s Degree or Master’s Degree in Nursing. Leadership experience in a clinical or hospital setting. Case Management Certification. Licensure & Certifications Active New York State RN License. BLS Certification. PRI and Screen Certification (within 3 months of hire). Primary Source Verification of RN License & Registration (NYSED). Case Management Certification (preferred). For more details contact at hdavda@navitashealth.com or Call / Text at 516-862-1169. About Navitas Healthcare, LLC: It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.

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 Job Title: Registered Nurse – Care Manager (Emergency Department) Location: Bronx, NY Type: Contract | 14 Weeks Pay Rate: $55 - $60/hour Position Overview: Navitas Healthcare, LLC is seeking a Registered Nurse – Care Manager (Emergency Department) for an exciting Travel or Local job in Bronx, NY. Responsibilities • Coordinate patient care planning and discharge processes within the Emergency Department., • Conduct utilization reviews to ensure appropriate level of care and resource utilization., • Collaborate with physicians, nursing staff, social workers, and case management teams., • Facilitate safe and timely patient discharge planning and post-acute care coordination., • Maintain accurate and timely documentation in compliance with hospital standards., • Support care transitions by identifying patient needs and arranging appropriate services., • Participate in interdisciplinary rounds and care conferences., • Ensure compliance with regulatory, clinical, and organizational policies., • Utilize electronic medical records and computer systems for documentation and reporting. Required Qualifications • Minimum 5 years of clinical experience as a Registered Nurse., • Strong experience in care coordination, utilization review, and discharge planning., • Associate Degree in Nursing (ASN/ADN) from an accredited nursing program., • Active New York State Registered Nurse License., • BLS Certification., • Computer literacy and proficiency with Electronic Medical Record systems., • Primary Source Verification of RN License and Registration through NYSED., • PRI and Screen Certification required within 3 months of employment. Preferred Qualifications • Bachelor’s Degree or Master’s Degree in Nursing., • Leadership experience in a clinical or hospital setting., • Case Management Certification. Licensure & Certifications • Active New York State RN License., • BLS Certification., • PRI and Screen Certification (within 3 months of hire)., • Primary Source Verification of RN License & Registration (NYSED)., • Case Management Certification (preferred). For more details contact at hdavda@navitashealth.com or Call / Text at 516-862-1169. About Navitas Healthcare, LLC: It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.

Job DescriptionRN Clinical Reviewer (Proofer) - Jericho, NY (#25289) Location: Jericho, NY Employment Type: Full-time, Temp-to-Hire Hourly Rate: $45/hr Position Overview:We are seeking a meticulous Clinical Reviewer Proofer Registered Nurse who will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. They will utilize their knowledge and expertise of the review program to conduct clinical-level review, supporting Medical Review Analysts and Physician Consultants to ensure an appropriate and accurate process. Why Join Us? • Competitive Compensation: Earn $45 per hour., • Comprehensive Benefits:, • Paid Sick Time, • Health insurance, • 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 (5 days per week), Temp-to-Hire position., • Professional Growth: Gain valuable experience in a collaborative, innovative, and supportive environment, enhancing skills in clinical review., • Impactful Work: Play a critical role in ensuring the accuracy and integrity of state-level healthcare dispute resolutions.Qualifications:, • Education: Baccalaureate degree in Nursing or graduate of an approved Registered Professional Nurses training program and licensed to practice in the State of New York., • Licensure: Must have an active NY State RN license., • Experience: Must have a minimum of 2 years experience in an acute care facility, preferably in medicine/surgery or special care units, and/or 1 to 3 years experience in acute care utilization review., • Technical Skills: Knowledge and experience with electronic medical records, including coding, quality, and clinical charting., • Soft 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., • Ability and desire to be flexible, innovative, and creative. Key Responsibilities:This individual will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. They will utilize their knowledge and expertise of the review program to conduct clinical-level review, supporting Medical Review Analysts and Physician Consultants to ensure an appropriate and accurate process. • Conduct utilization reviews up to and including the appeal level. This includes the chart screen, complete electronic worksheets, entering 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.

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 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 Title: Clinical Review RN (Maternal Mortality / Office Based Surgical Incidents) Hours: 40 hours a week between 7:30am-5:30pm EST Background: Must have strong clinical background in maternal health, NICU, OBGYN, L&D, Pediatrics, emergency medicine, inpatient. Must have strong writing skills. Pay: $38.46-43.26/hr Location: can sit in office in Albany or Jericho, NY Position Details: Looking for an RN with a strong clinical background (more details below) who has very strong written communication skills. Will be reviewing the documentation, medical records, and more to provide written clinical summaries to boards of review or other governing bodies. The nurses will all be a part of the same team and will work between the Maternal Mortality Project & Office Based Surgical Incidents. This individual will perform reviews of primary, preventative, and reproductive healthcare provided within school based health centers and family planning clinics, including conducting on-site observations of the clinics. The project requires an understanding and application of the associated regulations and guidelines, and use of standardized tools and databases. DUTIES: • Completes all pre-review activities, including review of previous monitoring information, and review of program documentation submitted., • Completes hybrid monitoring activities, including review of patient records and billing, for all required components and time frames., • Conducts site observation and staff interviews, and notes any deficiencies., • Provides technical assistance to program personnel, where appropriate., • Completes data management tools to draft provider monitoring report in accordance with monitoring findings., • Tracks status of documents and reviews in databases and other shared platforms. QUALIFICATIONS: • The ability to work independently, as well as in a team environment, and to prioritize reviews and projects to be completed., • Strong analytical and communication skills (both written and verbal)., • Ability to gather and analyze information from records, reports, and other sources., • Proficient in the use of standard office technology and basic Microsoft applications including Word, Excel, and Teams. EDUCATION & EXPERIENCE: • Qualified, and actively credentialed/registered in New York State, • A minimum of two (2) years of clinical practice experience in pediatric/adolescent/reproductive health care., • A minimum of two (2) years of experience reviewing charts for the purpose of quality improvement or utilization review. Maternal Mortality Project: Reviewing case records where a maternal death occurred. This is tracked by CMS for a federal database and it is also required by NYS. When a case occurs, it will be evaluated by the review board. This candidate will be reviewing all of the clinical documentation, phone interviews (conducted by the staff) with loved ones, and all other pertinent information leading up to the death. They average about 50 cases a year and there is not a set turnaround time, but they would make sure that it is fully evaluated. Office Based Surgical Incident Reviews: These are faster turnarounds and are reporting up to DOH. Will review the cases where unexpected surgeries had to happen in an office setting (can be across numerous outpatient settings).

Travel offering nursing profession RN specialty utilization review.

Cynet Health is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Melville, NY.Shift: 5x8 hr days Start Date: 07/07/2026 Duration: 13 weeks Pay: $2493.Ranked #5 Best Travel Nursing Companies 2022 by BluePipes.We offer the most competitive pay for every positi

Start your rewarding career as a Travel Interventional Radiology RN with Fusion Medical Staffing and join our mission to improve lives. Travel Interventional Radiology RN. Fusion Medical Staffing is seeking a skilled Interventional Radiology RN for a 4-week travel assignment in Southampton, New York

Cynet Health is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Melville, NY.Shift: 5x8 hr days Start Date: 07/07/2026 Duration: 13 weeks Pay: $2493.Ranked #5 Best Travel Nursing Companies 2022 by BluePipes.We offer the most competitive pay for every positi

A facility in Bethpage, NY is seeking its next amazing RN (Registered Nurse) to work in ER (Emergency Room). Since 2001, Medical Solutions has made it our mission to provide "Service That Inspires" to our Travel Nurses, our Hospital Clients, and our internal employees.

Fusion Medical Staffing is seeking a skilled ER RN for a 13-week travel assignment in Bethpage, New York. One year of recent experience as an ER RN. Valid RN license in compliance with state regulations.

Cynet Health is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Melville, NY.Shift: 5x8 hr days Start Date: 07/07/2026 Duration: 13 weeks Pay: $2493.Ranked #5 Best Travel Nursing Companies 2022 by BluePipes.We offer the most competitive pay for every positi

Key Words: Registered Nurse, RN, Cardio vascular Operating Room, Open Heart, Scrub, Circulate, OR, Contract Nurse, Travel Nurse, Agency RN, Travel RN, Nursing, Contract. MedPro recruiters are equipped with emerging technology and resources that allow them to personalize each healthcare applicant’s

Fusion Medical Staffing is seeking a skilled CVOR RN for a 13-week travel assignment in Roslyn, New York. One year of recent experience as a CVOR RN. Valid RN license in compliance with state regulations.

Cynet Health is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Bethpage, NY.Shift: 3x12 hr nights Start Date: 07/14/2026 Duration: 13 weeks Pay: $2236 / Week.Ranked #5 Best Travel Nursing Companies 2022 by BluePipes.We offer the most competitive pay for

Extra ways to earn through bonuses.

Cynet Health is seeking an experienced Cardiovascular Operating Room Registered Nurse for an exciting Travel Nursing job in Roslyn, NY.Shift: 3x12 hr days Start Date: 07/14/2026 Duration: 13 weeks Pay: $2830 / Week.Ranked #5 Best Travel Nursing Companies 2022 by BluePipes.We offer the most competiti

The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1. No prior RN dialysis experience required; 1 year of RN is required, med

Associate Patient Care Coordinator.Optum NY/NJ, is seeking an Associate Patient Care Coordinator to join our team in Hicksville, NY.Optum is a clinician-led care organization that is changing the way clinicians work and live.As a member of the Optum Care Delivery team, you'll be an integral part of

Registered Nurse (RN) licensed.

Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient's chart and answers questions correctly and courteously;.

Professional PT, a leading provider of physical, occupational, and hand therapy in the Northeast, is seeking a dedicated and compassionate individual to join our team as a Patient Care Coordinator.As a Patient Care Coordinator, you will be the first point of contact for our patients and play a vital

North Shore Cardiology and Internal Medicine, part of Optum, has an immediate opening for a friendly, patient focused and detailed oriented Associate Patient Care Coordinator to join our team.

Associate Patient Care Coordinator.Optum NY/NJ, is seeking an Associate Patient Care Coordinator to join our team in Lake Success, NY.Optum is a clinician-led care organization that is changing the way clinicians work and live.As a member of the Optum Care Delivery team, you'll be an integral part o

Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient's chart and answers questions correctly and courteously;.

Weekend RN – 8 or 12 hour shift position. Interpret the nursing department's policies and procedures to personnel, resident, visitors, and government agencies as required. Identify learning needs of the nursing staff.

FlexStaff is looking for a Field RN in Brooklyn. The Field RN is a Registered Professional Nurse who will manage all aspects of patient care related to services provided in the home.

Optum Multi-Specialty Care and Internal Medicine has an immediate opening for a friendly, patient focused and detailed oriented Associate Patient Care Coordinator to join our team.

Associate Patient Care Coordinator.Optum NY/NJ, is seeking a Associate Patient Care Coordinator to join our team in Huntington, NY.Optum is a clinician-led care organization that is changing the way clinicians work and live.As a member of the Optum Care Delivery team, you'll be an integral part of o

Associate Patient Care Coordinator.Optum NY/NJ, is seeking an Associate Patient Care Coordinator to join our team in Rockville Centre, NY.Optum is a clinician-led care organization that is changing the way clinicians work and live.As a member of the Optum Care Delivery team, you'll be an integral pa

Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient's chart and answers questions correctly and courteously;.

Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient's chart and answers questions correctly and courteously;.

Report malfunction of equipment and/or broken furniture immediately to Maintenance Department. Interpret the nursing department's policies and procedures to personnel, resident, visitors, and government agencies as required. Identify learning needs of the nursing staff.

Hiring Licensed Registered Nurses (RNs) for Long Term Care Facilities. RN/Registered Nurse Requirements:. Currently holds an active RN License to work in New York.

They will also, educate the patient, circulating nurse and/or scrub nurse, and potentially RN first assistant or operating room director.

We seek home infusion field nurses (RNs) with experience in various infusion therapies, venous access, and phlebotomy for cases throughout the Hudson Valley (Ulster/Sullivan/Columbia). Two (2) forms of government-approved ID to validate employment eligibility. A successful infusion field nurse will

North Shore Cardiology and Internal Medicine, part of Optum, has an immediate opening for a friendly, patient focused and detailed oriented Associate Patient Care Coordinator to join our team.

Associate Patient Care Coordinator.Optum NY/NJ, is seeking an Associate Patient Care Coordinator to join our team in Lake Success, NY.Optum is a clinician-led care organization that is changing the way clinicians work and live.As a member of the Optum Care Delivery team, you'll be an integral part o

Associate Patient Care Coordinator.Optum NY/NJ, is seeking a Associate Patient Care Coordinator to join our team in Huntington, NY.Optum is a clinician-led care organization that is changing the way clinicians work and live.As a member of the Optum Care Delivery team, you'll be an integral part of o