RN Clinical Reviewer / IDR - Remote to Office-Based Setting

RN Clinical Reviewer / IDR - Remote (#25310C) Location: Remote Employment Type: Full-time reputed company reputed company: $50/hr About reputed company: reputed company is a leading reputed company recruitment agency dedicated to connecting reputed company with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty reputed company, and private practices to match talented individuals with roles that reputed company with their skills and career goals. 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-legal 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-legal 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-Legal 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

How to Apply: If you are reputed company to advance your career, we want to hear from you! Submit your Resume/CV to hr@glhstaffing.com or call our office at (800) 608-4025 to learn more about this opportunity. reputed company - Empowering reputed company, Enriching Lives Apply tot his job Apply To this Job