RN Clinical Reviewer (Proofer) at Greenlife Healthcare Staffing

Jericho, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

21 Sep, 26

Salary

45.0

Posted On

23 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Utilization Review, Quality Review, Clinical Charting, Electronic Medical Records, Medical Coding, Case Management, Problem Solving, Clinical Data Collection, Written Communication, Verbal Communication

Industry

Staffing and Recruiting

Description

RN Clinical Reviewer (Proofer) - Jericho, NY (#25289) Location: Jericho, NY Employment Type: Full-time, Temp-to-Hire Hourly Rate: $45/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 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? 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. 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. Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives 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 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.

Responsibilities

Conduct clinical-level utilization and quality reviews to support Medical Review Analysts and Physician Consultants. Perform chart screens, complete electronic worksheets, and make level one denial decisions for healthcare dispute resolutions.