RN Clinical Reviewer (Proofer)
$45 per hourGreenLife Healthcare Staffing
RN Clinical Reviewer (Proofer) - Jericho, NY (#25289)
- Location: Jericho, NY
- Employment Type: Full-time, Temp-to-Hire
- Hourly Rate: $45/hr
- Work Schedule: Full-time (5 days per week), Temp-to-Hire position.
- Professional Growth: Gain valuable experience in a collaborative, innovative, and supportive environment, enhancing skills in clinical review.
- Impactful Work: Play a critical role in ensuring the accuracy and integrity of state-level healthcare dispute resolutions.
- Conduct utilization reviews up to and including the appeal level. This includes the chart screen, complete electronic worksheets, entering 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.
- Education: Baccalaureate degree in Nursing or graduate of an approved Registered Professional Nurses training program and licensed to practice in the State of New York.
- Licensure: Must have an active NY State RN license.
- Experience: Must have a minimum of 2 years experience in an acute care facility, preferably in medicine/surgery or special care units, and/or 1 to 3 years experience in acute care utilization review.
- Technical Skills: Knowledge and experience with electronic medical records, including coding, quality, and clinical charting.
- Soft Skills:
- Ability to oversee, problem solve, and work collaboratively with peers, medical, analytical, and administrative support staff.
- Excellent written and verbal skills.
- Ability to work independently with little supervision.
- Ability and desire to be flexible, innovative, and creative
- Competitive Compensation: Earn $45 per hour.
- Comprehensive Benefits:
- Paid Sick Time
- Health insurance
- 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.
Vacancy posted 15 hours ago
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