Registered Nurse Clinical Reviewer / IDR Job at GreenLife Healthcare Staffing, Albany, NY

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  • GreenLife Healthcare Staffing
  • Albany, NY

Job Description

Registered Nurse Clinical Reviewer / IDR - Remote to Office-Based,  Albany, NY  (#25305)

Location:  Albany, NY
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 currently seeking a Registered Nurse Clinical Reviewer to fill an opening with a Non-profit organization located in Albany, NY. This remote to office-based position involves conducting comprehensive medical-legal reviews, research, and appeals while ensuring regulatory compliance and producing accurate final determinations for a respected non-profit organization.

Why Join Us?

  • Competitive Compensation: Earn $50 per hour
  • Comprehensive Benefits:  
    • 1 Week of Paid Vacation based on accruals after 6 months of employment (2 weeks of Paid Vacation with accrual starting your second year of employment)
    • 6 Major Paid Holidays per year after 6 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, Remote to Office-Based position
  • Professional Growth: Gain valuable experience in medical-legal review and dispute resolution processes
  • Impactful Work: Contribute to fair and accurate resolution of healthcare disputes

Qualifications:

  • Education: Baccalaureate degree in Nursing or a graduate of an approved RN program
  • Licensure: Current New York State RN license
  • Experience: 3+ years in Med-Legal review setting; 1-3 years in acute care utilization review/appeals
  • Technical Skills: Experience with electronic medical records; strong research and documentation abilities
  • Soft Skills: Excellent written/verbal communication; ability to work independently and collaboratively; flexible, innovative, and creative; the ability to oversee, problem solve, and work collaboratively with peers, medical, analytical, and administrative support staff; meets deadlines in time-sensitive environments

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 an experienced RN Clinical Reviewer with IDR expertise ready for a remote to Office-based position, 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 Live s

Job Tags

Hourly pay, Full time, Temporary work, Private practice, Work at office, Remote work, Flexible hours,

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