Clinical Reviewer RN - Jericho - IPRO

· Clinical Reviewer (RN) · As a Clinical Reviewer, you will complete the full spectrum of activities related to Independent Dispute Resolution (IDR) case determinations. Conducting clinical level review, managing case staging and appeal processes within strict deadlines. Duties ...

As the Clinical Reviewer, you will be responsible for the review and processing of all requests for Independent Reviews from External Agencies in accordance with contractual guidelines. Upon receipt of the electronic medical records, communicate with contractors, providers and be ...

As a Clinical Reviewer you will complete the full spectrum of activities related to State Independent Review Organization (IRO) case determinations. You will conduct clinical level review, determine physician level assignment, manage case staging between external physician expert ...

Clinical Reviewer (RN) · As a Clinical Reviewer, you will complete the full spectrum of activities related to Independent Dispute Resolution (IDR) case determinations. Conducting clinical level review, managing case staging and appeal processes within strict deadlines. Duties inc ...

Medicaid Cost Outlier Clinical Reviewer, RN · Location: Onsite · Address: Jericho, NY · Schedule: Monday–Friday, 8:00 AM–5:00 PM · Pay Rate: $43/hour · Employment Type: Contract with possibility of hire · Position Overview · The Clinical Reviewer (RN) is responsible for completin ...

RN Clinical Reviewer (Proofer) - Jericho, NY (#25289) · 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 ...

RN Clinical Reviewer (Proofer) - Jericho, NY (#25289) · Location: Jericho, NY · Employment Type: Full-time, Temp-to-Hire · Hourly Rate: $45/hr · Position Overview: · Greenlife Healthcare Staffing is seeking a meticulous Clinical Reviewer Proofer Registered Nurse who will complete ...

RN Clinical Reviewer - Jericho, NY (#25314) · Location: Jericho, NY · Employment Type: Full-time · Hourly Rate: $45/hr - $50/hr · About Greenlife Healthcare Staffing: · Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare pro ...

RN Clinical Reviewer - Jericho, NY (#25314) · Location: Jericho, NY · Employment Type: Full-time · Hourly Rate: $45/hr - $50/hr · About Greenlife Healthcare Staffing: · Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare pro ...

In the Clinical Reviewer RN (Proofer) role, you will review all NYS Dispute Resolution and External Review determinations for accuracy of decisions, mathematical determinations, content, grammar, punctuation and state required conventions.  The Clinical Reviewer RN (Proofer) will ...

The Clinical Reviewer (RN) is responsible for completing the full spectrum of activities related to utilization and quality reviews.This individual will leverage clinical expertise to conduct detailed reviews, support Medical Review Analysts and Physician Consultants, and ensure ...

RN Clinical Reviewer / IDR - Jericho, NY (#25310) · Location: Jericho, NY · Employment Type: Full-time · Hourly Rate: $60/hr · About Greenlife Healthcare Staffing: · Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare profes ...

RN Clinical Reviewer / IDR - Jericho, NY (#25309) · Location: Jericho, NY · Employment Type: Full-time · Hourly Rate: $60/hr · About Greenlife Healthcare Staffing: · Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare profe ...

We're expanding and looking for an experienced Clinical Reviewer to support fair, compliant, · evidence-based case outcomes in the State and Federal Independent Dispute Resolution (IDR) · process. · Clinical review up to appeal level · , including chart screening regulatory resea ...

+ Clinical Review RN (Medicaid Cost Outlier) · + Conduct utilization reviews up to and including the appeal level. · Conduct quality and clinical study data collection reviews. · Act as a resource for administrative staff in training, problem solving and clarifying procedures. · ...

We are seeking a Registered Nurse Clinical Reviewer to conduct comprehensive medical-legal reviews and appeals while ensuring regulatory compliance for a non-profit organization in New York. · Baccalaureate degree in Nursing or approved RN program · New York State RN license requ ...

We're expanding and looking for an experienced Clinical Reviewer to support fair, compliant, and evidence-based case outcomes. · Registered Nurse (RN) license – requiredBachelor's degree in NursingMinimum 2 years of clinical experience ...

RN Clinical Reviewer - Jericho, NY (#25314) · Location: Jericho, NY · Employment Type: Full-time · Hourly Rate: $45/hr - $50/hr · Position Overview: · We are seeking a skilled Registered Nurse Clinical Reviewer to join a team at a respected non-profit organization in Jericho, NY. ...

We are seeking a highly skilled Clinical Reviewer (RN) to join our team This is an excellent opportunity for a clinically strong detail-oriented nursing professional with experience in acute care and utilization review. · Conduct utilization reviews through the appeal level inclu ...

We are seeking an experienced Clinical Review RN to join our team. The successful candidate will have critical thinking and problem-solving skills, as well as experience working with electronic medical records. · Conduct reviews up to and including the appeal level. · Act as a re ...

Job Title: Clinical Review RN (IDR/Appeals) · Experience: Open to various clinical backgrounds/experience. Must have 2+ years of clinical experience post graduation, must has critical thinking and problem solving skills. · ***Must have BSN and New York State RN license*** · Locat ...