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

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?

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

Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives

Job Tags

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

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