RN Clinical Reviewer (Proofer) - Jericho, NY (#25289) * Location: Jericho, NY * Employment Type ... Health insurance * Benefits from Paychex, such as Payactiv * GLHS is a great company to work for ...
RN Clinical Reviewer (Proofer) - Jericho, NY (#25289) * Location: Jericho, NY * Employment Type ... Health insurance * Benefits from Paychex, such as Payactiv * GLHS is a great company to work for ...
Clinical Reviewer DC
Washington, DC · On-site
Clinical Reviewer Position Are you passionate about using your clinical expertise to support ... Medical, dental and vision insurance * Paid time off for vacation, illness and volunteering
Clinical Reviewer DC
Washington, DC · On-site
Clinical Reviewer Position Are you passionate about using your clinical expertise to support ... Medical, dental and vision insurance * Paid time off for vacation, illness and volunteering
Clinical Nurse Reviewer
Saint Louis, MO · On-site
$59K - $75K/yr
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Saint Louis, MO · On-site
$59K - $75K/yr
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Morristown, NJ · On-site
$59K - $75K/yr
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Morristown, NJ · On-site
$59K - $75K/yr
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Atlanta, GA · On-site
$59K - $75K/yr
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Atlanta, GA · On-site
$59K - $75K/yr
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Boston, MA · On-site
$59K - $75K/yr
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Boston, MA · On-site
$59K - $75K/yr
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Plano, TX · On-site
$59K - $75K/yr
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Plano, TX · On-site
$59K - $75K/yr
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Reviewer (RN)
Jericho, NY · On-site
$38.46 - $43.27/hr
Clinical Reviewer (RN) As a Clinical Reviewer, you will complete the full spectrum of activities ... insurer requirements, complete decision templates and preparing final determinations. * Act as a ...
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Clinical Reviewer (RN)
Jericho, NY · On-site
$38.46 - $43.27/hr
Clinical Reviewer (RN) As a Clinical Reviewer, you will complete the full spectrum of activities ... insurer requirements, complete decision templates and preparing final determinations. * Act as a ...
Assists on inquiries from external parties such as the State Insurance Commissioner and from the ... Use clinical judgment, medical necessity guidelines and plan benefits to determine approval ...
Assists on inquiries from external parties such as the State Insurance Commissioner and from the ... Use clinical judgment, medical necessity guidelines and plan benefits to determine approval ...
Clinical Nurse Reviewer
Saint Petersburg, FL · On-site
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Saint Petersburg, FL · On-site
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Saint Petersburg, FL · On-site
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Saint Petersburg, FL · On-site
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Assists on inquiries from external parties such as the State Insurance Commissioner and from the ... Use clinical judgment, medical necessity guidelines and plan benefits to determine approval ...
Assists on inquiries from external parties such as the State Insurance Commissioner and from the ... Use clinical judgment, medical necessity guidelines and plan benefits to determine approval ...
Clinical Nurse Reviewer
Saint Petersburg, FL · On-site
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Saint Petersburg, FL · On-site
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Assists on inquiries from external parties such as the State Insurance Commissioner and from the ... Use clinical judgment, medical necessity guidelines and plan benefits to determine approval ...
Assists on inquiries from external parties such as the State Insurance Commissioner and from the ... Use clinical judgment, medical necessity guidelines and plan benefits to determine approval ...
Clinical Nurse Reviewer
Boston, MA · On-site
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Boston, MA · On-site
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Atlanta, GA · On-site
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Atlanta, GA · On-site
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Saint Louis, MO · On-site
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Saint Louis, MO · On-site
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Morristown, NJ · On-site
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Morristown, NJ · On-site
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Saint Petersburg, FL · On-site
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Saint Petersburg, FL · On-site
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Plano, TX · On-site
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Nurse Reviewer
Plano, TX · On-site
Participate in training sessions and shadow senior reviewers to develop clinical review skills ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...
Clinical Insurance Reviewer information
See salary details
$24.28 - $26.29
6% of jobs
$26.29 - $28.30
7% of jobs
$28.30 - $30.31
5% of jobs
$31.47 is the 25th percentile. Wages below this are outliers.
$30.31 - $32.32
11% of jobs
$32.32 - $34.33
11% of jobs
The median wage is $35.04 / hr.
$34.33 - $36.34
28% of jobs
$36.34 - $38.35
3% of jobs
$39.44 is the 75th percentile. Wages above this are outliers.
$38.35 - $40.36
6% of jobs
$40.36 - $42.37
13% of jobs
$42.37 - $44.38
6% of jobs
$44.38 - $46.39
3% of jobs
$24
$35
$46
How much do clinical insurance reviewer jobs pay per hour?
As of Sep 2, 2026, the average hourly pay for clinical insurance reviewer in the United States is $35.92, according to ZipRecruiter salary data. Most workers in this role earn between $31.25 and $40.38 per hour, depending on experience, location, and employer.
What is a clinical insurance reviewer?
A Clinical Insurance Reviewer evaluates medical claims to ensure they meet insurance policies and clinical guidelines. They review patient records, verify medical necessity, and determine coverage eligibility. This role requires knowledge of medical terminology, coding, and insurance regulations. Clinical Insurance Reviewers help prevent fraud, ensure compliance, and support fair reimbursement for healthcare providers and patients.
What are the typical daily responsibilities of a clinical insurance reviewer?
Clinical Insurance Reviewers spend much of their day reviewing medical records and patient documentation to determine the medical necessity and appropriateness of treatments for insurance coverage. They assess claims against clinical guidelines, communicate their findings with healthcare providers or case managers, and may also participate in peer-to-peer reviews or appeals. Most positions involve working closely with other reviewers, physicians, and administrative staff, either remotely or in a collaborative office setting. This role requires strong organizational skills as well as the ability to manage multiple case reviews and deadlines simultaneously.
What are the key skills and qualifications needed to thrive as a clinical insurance reviewer?
To thrive as a Clinical Insurance Reviewer, you need a solid understanding of clinical practices, medical terminology, and insurance guidelines, often supported by a background in nursing or other healthcare professions. Familiarity with electronic medical records (EMRs), claims management systems, and utilization review software is highly valuable, and certifications such as Certified Professional in Healthcare Quality (CPHQ) can be advantageous. Strong analytical thinking, attention to detail, and effective communication skills set top performers apart in this role. These skills are crucial for accurately evaluating medical claims, ensuring compliance, and facilitating clear communication between healthcare providers and insurance companies.
More about Clinical Insurance Reviewer jobs
What cities are hiring for Clinical Insurance Reviewer jobs?
Cities with the most Clinical Insurance Reviewer job openings:
What are the most commonly searched types of Clinical Insurance Reviewer jobs?
The most popular types of Clinical Insurance Reviewer jobs are:
What states have the most Clinical Insurance Reviewer jobs?
States with the most job openings for Clinical Insurance Reviewer jobs include:
What job categories do people searching Clinical Insurance Reviewer jobs look for?
The top searched job categories for Clinical Insurance Reviewer jobs are:
$45/hr
Full-time
Medical
Posted 23 days ago
Job description
RN Clinical Reviewer (Proofer) - Jericho, NY (#25289)
- Location:Â Jericho, NY
- Employment Type:Â Full-time, Temp-to-Hire
- Hourly Rate:Â $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:Â Full-time (5 days per week), Temp-to-Hire position.
- Professional Growth:Â Gain valuable experience in a collaborative, innovative, and supportive environment, enhancing skills in clinical review.
- Impactful Work:Â 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
Requirements
Qualifications:
- Education:Â 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:Â Must have an active NY State RN license.
- Experience:Â 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:Â Knowledge and experience with electronic medical records, including coding, quality, and clinical charting.
- Soft Skills:Â
- 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
Benefits
- Competitive Compensation:Â 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.
About Greenlife Healthcare Staffing
Sourced by ZipRecruiter
Greenlife Healthcare Staffing is a nationwide recruitment agency, matching both new grads and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices.
Industry
Recruiting and staffing services
Company size
11 - 50 Employees
Headquarters location
New York, NY, US