Clinical Reviewer (Proofer)
$45 per hourGreenlife Healthcare Staffing
RN Clinical Reviewer (Proofer) - Jericho, NY
Location: Jericho, NY
Employment Type: Full-time, Temp-to-Hire
Hourly Rate: $45/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 a meticulous Clinical Reviewer Proofer Registered Nurse who will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. They will utilize their knowledge and expertise of the review program to conduct clinical-level review, supporting Medical Review Analysts and Physician Consultants to ensure an appropriate and accurate process.
Why Join Us?
- 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.
Key Responsibilities:
This individual will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. They will utilize their knowledge and expertise of the review program to conduct clinical-level review, supporting Medical Review Analysts and Physician Consultants to ensure an appropriate and accurate process.
- 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.
Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives
Greenlife Healthcare StaffingVacancy posted 4 days ago
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