Job Description

Registered Nurse Clinical Reviewer / AIMS - Remote (#25299A)

Location: Remote.
Employment Type: Full-time.
Hourly Rate: $50/hr.

Position Overview:

We are 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?

• 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.
• 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.

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.

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.

We are committed to our core values: integrity, honesty, and transparencyFinding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming.At Greenlife our mission is to make this process easier for you and help you through all the steps necessary to find that perfect new position or the healthcare professional to round out your team.We understand that every situation is different and our approach reflects that: we value personalized interaction with job seekers and employers, our searches are customized not cookie-cutter and our results speak for themselves: Happy job seekers and employers who found the right professional match through our services.

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