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 Nurseย who will complete the full spectrum of activities related to Utilization orย Quality reviews as assigned. They will utilize their knowledge and expertise of theย review program to conduct clinical-level review, supporting Medical Review Analystsย and Physician Consultants to ensure an appropriate and accurate process.
Why Join Us?
- 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.
- 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.
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:ย
- 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
Key Responsibilities:
This individual will complete the full spectrum of activities related to Utilization orย Quality reviews as assigned. They will utilize their knowledge and expertise of theย review program to conduct clinical-level review, supporting Medical Review Analystsย 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, andย making level one denial decisions when necessary.
- Conduct quality and clinical study data collection reviews. This includes a chartย review, complete detailed electronic data worksheets.
- Act as a resource for the administrative staff in training, problem-solving, andย clarifying procedures. Will provide technical assistance and conduct/participateย in staff huddles.
- Participate in collaborative training specific to clinical study objectives.
- Other activities as may be deemed necessary.
How to Apply: If you are a detail-oriented RN ready to take the next step in your career, we want to hear from you! Submit your Resume/CV and a writing sample to hr@glhstaffing.com or call our office at (800) 608-4025 to learn more about this opportunity.
Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives