Registered Nurse

Greenlife Healthcare Staffing; Village of New Hyde Park (NY); On-site; USD 100,000 - 125,000; Full time

Job summary

An established industry player is seeking a detail-oriented Registered Nurse Clinical Reviewer to join their mission-driven organization. This role focuses on utilization review and regulatory compliance, ensuring high-quality patient care. You will conduct reviews, collaborate with teams, and gain valuable experience in a supportive environment. If you're passionate about healthcare equity and ready to make a difference, this opportunity is perfect for you.

Qualifications

• Bachelor's degree in Nursing or accredited RN training program required.
• 1-3 years of experience in utilization review or similar settings.

Responsibilities

• Conduct utilization reviews and clinical appeals, ensuring compliance.
• Research insurer requirements and provide training to teams.

Skills

Utilization Review

Regulatory Research

Clinical Appeals

Communication Skills

Problem-Solving

Education

Bachelor's Degree in Nursing

Active New York State RN License

Tools

Electronic Medical Records

Job description

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Registered Nurse Clinical Reviewer / IDR – Lake Success, NY (#25210)

Location: Lake Success, NY

Employment Type: Full-Time (6-Month Contract)

Hourly Rate: $60/hour

About Greenlife Healthcare Staffing

Greenlife Healthcare Staffing is a nationally recognized recruitment agency committed to connecting healthcare professionals with premier career opportunities. We partner with healthcare providers across the country to deliver placements that align with our candidates' professional goals and expertise.

Position Overview

We are seeking a Registered Nurse Clinical Reviewer to join a respected non-profit organization in Lake Success, NY. This position focuses on utilization review, appeals processing, and regulatory research to ensure that clinical documentation and decisions meet compliance standards and support equitable, high-quality patient care.

Why Join Us?

Compensation & Schedule

• $60/hour
• Full-time: Monday – Friday
• 6-month contract with potential for extension based on performance and client need
• Gain advanced experience in utilization review, compliance, and clinical appeals
• Work within a collaborative, mission-driven organization focused on patient advocacy

Key Responsibilities

• Conduct utilization reviews and clinical appeals, including chart screening, regulatory review, and final determination preparation
• Research insurer requirements and regulatory guidance to inform determinations
• Complete electronic worksheets and documentation in compliance with standards
• Provide training, support, and technical assistance to administrative and clinical teams
• Participate in staff huddles and interdisciplinary collaboration
• Perform other duties as assigned to support review operations

Qualifications

Education & Licensure

• Bachelor's degree in Nursing or graduation from an accredited RN training program
• Active New York State RN license required

Experience

• 1–3 years of experience in utilization review, appeals, or similar settings
• Strong understanding of electronic medical records
• Experience in regulatory research or clinical compliance preferred

Technical & Interpersonal Skills

• Excellent written and verbal communication skills
• Ability to problem-solve independently and work collaboratively across teams
• Comfortable working under tight deadlines in a fast-paced, deadline-driven environment
• Flexible, innovative, and committed to continuous improvement

How to Apply

If you are a detail-oriented and driven RN passionate about clinical review and healthcare equity, submit your Resume/CV to [e-mail] or call 109-899-1811 for more information.

Empowering Healthcare Professionals. Enriching Lives.

You will receive notifications for new jobs within miles of New Hyde Park, NY.

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