RN Clinical Reviewer - Jericho

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 ...

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 ...

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 ...

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 - 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 ...

Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a Non-profit organization located in New York. · We partner with hospitals, clinics, nursing homes and private practices to match talented individuals with roles that align wi ...

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 - Remote to Office-Based Setting - Jericho, NY (#25309) · Location: Hybrid (Remote to Office-Based) - Jericho, NY · Employment Type: Full-time · Hourly Rate: For remote, it's $50/hr, and as soon as the candidate transitions into an office-based position ...

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 ...

RN Clinical Reviewer / IDR - Remote to Office-Based Setting - Jericho, NY (#25310) · Location: Hybrid (Remote to Office-Based) - Jericho, NY · Employment Type: Full-time · Hourly Rate: For remote, it's $50/hr, and as soon as the candidate transitions into an office-based position ...

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 ...

+ 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 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 ...

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 ...

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 ...

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 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 ...

Clinical Reviewer Primary Duties: Conduct utilization reviews up to and including the appeal level. This includes chart screen. · ...

We are looking for a Clinical Reviewer to join our team to train AI models. · Responsibilities · Give AI chatbots diverse and complex healthcare related problems and evaluate their outputs · Evaluate the quality produced by AI models for correctness and performance · Ensure the m ...