Remote RN Clinical Reviewer – Utilization & Quality

kozmetickesluzby.vecnakraska.sk - Jobboard; New York (NY); Remote; USD 90,000 - 104,000; Full time

Benefits offered by this job

Paid Vacation

Health Insurance

401k Matching

Paid Holidays

Job summary

Greenlife Healthcare Staffing is looking for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical studies.

With a competitive pay of $45 - $50 per hour and benefits including paid vacation and health insurance, this position offers a great work-life balance. Candidates must be graduates of accredited nursing programs with an active New York RN license.

Qualifications

• 1-3 years of experience in acute care utilization review and appeals.
• Strong analytical, problem-solving, and communication skills.
• Ability to work independently and assist administrative staff.

Responsibilities

• Conduct utilization reviews including chart screens and denial decisions.
• Perform quality reviews and data collection.
• Provide training and technical assistance to staff.
• Participate in collaborative training and staff huddles.
• Support team and organizational goals.

Skills

Analytical skills

Problem-solving skills

Communication skills

Computer proficiency

Microsoft Outlook

Excel

Word

Education

Graduate of an accredited nursing program

Active and unrestricted New York State RN license

Job description

Greenlife Healthcare Staffing is looking for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical studies.

With a competitive pay of $45 - $50 per hour and benefits including paid vacation and health insurance, this position offers a great work-life balance. Candidates must be graduates of accredited nursing programs with an active New York RN license.