RN Clinical Reviewer at Greenlife Healthcare Staffing

Jericho, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

17 Aug, 26

Salary

50.0

Posted On

19 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Utilization Review, Clinical Data Analysis, Chart Review, Electronic Medical Records, Problem Solving, Written Communication, Verbal Communication, Independent Work, Clinical Study Data Collection

Industry

Staffing and Recruiting

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 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. Ability and desire to be flexible, innovative, and creative. 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.

Responsibilities

Conduct utilization reviews and appeal-level determinations to support healthcare quality improvement. Perform clinical study data collection and provide technical assistance to administrative staff.