Clinical Reviewer RN — Utilization & Quality Lead

IPRO; Jericho (NY); On-site; USD 53,000 - 60,000; Full time

Job summary

IPRO in Jericho, NY is seeking a Clinical Reviewer (RN) to perform utilization and quality reviews, support Medical Review Analysts and Physicians, and ensure accurate processes. Duties include chart reviews, data collection, and guiding staff through procedures.

Required are NY RN licensure, a nursing degree, and 2+ years in acute care or utilization review. The role is office-based in Jericho with hourly compensation ranging from $38.46 to $43.27.

Qualifications

• Must have NY State licensure as a Registered Nurse.
• Bachelor’s degree in Nursing or graduate from an approved RN program and NY licensure.
• Minimum 2 years in acute care (medicine/surgery or similar) or 1–3 years in acute care utilization review.
• Excellent written and verbal communication; able to work independently.

Responsibilities

• Conduct utilization reviews up to and including the appeal level.
• Perform quality and clinical study data collection reviews.
• Act as a resource for administrative staff, providing training and problem solving.
• Participate in collaborative training for clinical study objectives.

Skills

EMR experience

Independent worker

Written & verbal comms

Problem solving

Team collaboration

Education

New York RN license

Bachelor's in Nursing / RN program graduate

Job description

IPRO in Jericho, NY is seeking a Clinical Reviewer (RN) to perform utilization and quality reviews, support Medical Review Analysts and Physicians, and ensure accurate processes. Duties include chart reviews, data collection, and guiding staff through procedures.

Required are NY RN licensure, a nursing degree, and 2+ years in acute care or utilization review. The role is office-based in Jericho with hourly compensation ranging from $38.46 to $43.27.