Registered Nurse Clinical Reviewer / AIMS - Remote (#25299A)
- Location: Remote
- 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 seeking an experienced Registered Nurse Clinical Reviewer to join a Non-profit organization located in New York. This fully remote position involves conducting utilization reviews and quality study data collection, ensuring compliance and accuracy in healthcare documentation for a respected non-profit organization.
Why Join Us?
- Work Schedule: Full-time, Remote. Sunday to Thursday schedule
- Professional Growth: Gain valuable experience in utilization review and clinical data analysis
- Impactful Work: Contribute to healthcare quality improvement and accurate data collection
Key Responsibilities:
- Conduct utilization reviews up to and including the appeal level. This includes chart screen, completing electronic worksheets, entering the 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
Requirements
Qualifications:
- Education: Graduate of an accredited nursing program
- Licensure: Active New York State RN license
- Experience: Must have 1-3 years of experience in acute care utilization review/appeals background.
- Technical Skills: Must be comfortable working on a computer. Familiar with Outlook, spreadsheets, and Word.
- Soft Skills: Strong analytical abilities, attention to detail, and ability to work independently in a remote environment
Benefits
- Competitive Compensation: Earn $50 per hour
- 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
- 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
- 401k 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.