Registered Nurse Clinical Reviewer / IDR

Registered Nurse Clinical Reviewer / IDR

Location: Lake Success, NY
Job ID: #25210
Employment Type: Full-Time | 6-Month Contract
Hourly Rate: $60/hour

About Greenlife Healthcare Staffing

Greenlife Healthcare Staffing is a nationwide recruitment agency connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and non-profit organizations to match individuals with roles that align with their skills and career goals.

Position Summary

We are currently seeking a Registered Nurse Clinical Reviewer to support a non-profit organization in Lake Success, NY. This full-time, six-month contract role focuses on clinical reviews, appeals, and regulatory research to ensure compliance and improve patient care outcomes. Ideal candidates will be detail-oriented, collaborative, and passionate about healthcare advocacy.

Responsibilities

• Conduct clinical reviews and appeals, including chart screening, regulatory research, and documentation
• Prepare final determinations and complete necessary reporting in electronic systems
• Serve as a resource for clinical and administrative staff, including training and case clarification
• Participate in team huddles and collaborative training sessions
• Assist in ongoing process improvement and technical support

Greenlife Healthcare Staffing Empowering Healthcare Professionals. Enriching Lives.

Qualifications

• Education:
• Bachelor’s degree in Nursing or graduate of an approved Registered Nursing program

• Licensure:
• Active New York State RN license required

• Experience:
• 1 to 3 years in utilization review, appeals, or clinical review
• Familiarity with electronic medical records
• Ability to work independently and within multidisciplinary teams

• Skills:
• Strong written and verbal communication
• Excellent organizational and analytical abilities
• Innovative, flexible, and able to meet deadlines in time-sensitive environments

Why Join This Role?

• Competitive Pay: $60 per hour
• Schedule: Full-time hours during a six-month contract (with potential for extension)
• Career Development: Gain experience in utilization review, compliance, and interdisciplinary collaboration
• Purpose-Driven Work: Contribute to healthcare access and quality in a non-profit setting