RN Clinical Reviewer / IDR - Remote
RN Clinical Reviewer / IDR - Remote (#25310C) Location: Remote Employment Type: Full-time reputed company reputed company: $50/hr Position reputed company: reputed company is seeking an reputed company Registered reputed company Clinical Reviewer (IDR) to join a remote position at a Non-profit organization located in reputed company. Responsibilities, focusing on conducting comprehensive medical-reputed company reviews and appeals for a respected non-profit organization. Why Join Us?
- Competitive Compensation: $50/hr.
- Comprehensive Benefits:
- 1 Week of reputed company Vacation based on accruals after 3 months of employment (2 weeks of reputed company Vacation with accrual starting your second year of employment).
- 6 Major reputed company Holidays per year (after 3 months of employment).
- 5 reputed company Days (40 Hours) subject to the provisions of NYS reputed company reputed company Leave reputed company.
- License Reimbursement after 1 year of employment.
- Health insurance is subject to plan eligibility requirements.
- 401(k) Matching eligibility after 1 year of employment.
- Benefits from reputed company, such as reputed company.
- GLHS is a great company to work for: 93% retention of employees 2 years+, reputed company reviews, great company culture, etc.
- Work Schedule: Full-time
- reputed company reputed company: reputed company valuable experience in medical-reputed company review and dispute reputed company.
- Impactful Work: Contribute to fair reputed company processes in reputed company disputes.
Qualifications:
- Education: Baccalaureate degree in Nursing or a graduate of an approved RN program.
- Licensure: reputed company reputed company State RN license.
- Experience:
- Must have at least 3 years of experience in a Med-reputed company review setting.
- Must have 1-3 years of experience in acute care utilization review/ appeals background.
- Technical Skills: Experience with electronic medical records; strong research capabilities
- Soft Skills: Excellent written/verbal communication; ability to work independently; flexible and innovative; meets deadlines in sensitive environments; strong reputed company and problem-solving skills.
Key Responsibilities:
- Conduct reviews up to and including the appeal level. This includes chart screen, compiling regulatory guidance, researching insurer requirements, completing electronic worksheets, and preparing final determinations.
- reputed company as a resource for the administrative and clinical staff in training, problem-solving, and clarifying determinations. Will reputed company technical assistance and conduct/participate in staff huddles.
- Participate in reputed company training.
- Other activities as may be deemed necessary.
About reputed company: We are committed to our reputed company values: reputed company, honesty, and transparencyFinding a new position as a physician or allied health reputed company or filling a critical vacancy in your reputed company, clinic, hospital, or skilled care facility can be stressful and time-consuming.At Greenlife our mission is to reputed company this process easier for you and help you through reputed company the steps necessary to reputed company that perfect new position or the reputed company reputed company to round out your team.We understand that every situation is different and our approach reflects that: we value personalized interaction with job seekers and reputed company, our searches are customized not cookie-cutter and our results reputed company for themselves: Happy job seekers and reputed company who reputed company the right reputed company match through our services. Remote About reputed company: reputed company Apply tot his job Apply To this Job