Registered Nurse Clinical Reviewer / IDR Job at GreenLife Healthcare Staffing, Westbury, NY

eWJYT1MwV0lyaEY1dVdQbjhyd1cydVN3Vmc9PQ==
  • GreenLife Healthcare Staffing
  • Westbury, NY

Job Description

Registered Nurse Clinical Reviewer / IDR

Location: Remote to Office-Based, Jericho, 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 Jericho, 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

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,

Similar Jobs

US Tech Solutions

Pharmacist Job at US Tech Solutions

 ...Prior Authorization Pharmacist Location: Remote The main focus of this position is to ensure that all prior authorizations are processed efficiently and accurately. This role requires a deep understanding of insurance policies and the ability to navigate complex... 

EnterGain

Director, People & Culture at Music Company (New York) Job at EnterGain

 ...The Company EnterGain is the exclusive recruiter for this role, on behalf of our confidential client company. Our client (the Company) is the booking agency that builds thriving sustainable touring careers, working closely with music artists to represent their vision... 

Lockheed Martin Corporation

Pipefitter/Plumber Job at Lockheed Martin Corporation

Job ID: 707357BR Date posted: Oct. 08, 2025 Description: Performs regular building/site proactive and reactive maintenance of plumbing infrastructure including - piping, fixtures, valves, etc. Responsible for reading & interpreting construction blueprints, isometric...

Nothing Bundt Cakes #270

Guest Service Representative PART TIME AFTER SCHOOL JOB Job at Nothing Bundt Cakes #270

 ...currency. Has the capacity to stand for extended periods of time and work in a fast-paced environment. Has the ability to perform...  ...and Work Experience Requirements: Applicants must be 15 years of age or older. While no formal education or work experience... 

Overpeck Creek Animal Hospital

Veterinary Receptionist Job at Overpeck Creek Animal Hospital

 ...00 AM - 8:00 PM; Saturday, 8:00 AM - 3:00 PM. Overpeck Creek Animal Hospital is hiring a full-time Senior Customer Service Professional to be the knowledgeable, welcoming face at our front desk. This role goes beyond typical administrative assistant duties-it's about...