Registered Nurse Clinical Reviewer / AIMS

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

• Location: Remote
• 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 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?

• 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

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.

Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives

Requirements

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

Benefits

• 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.