RN Clinical Reviewer / IDR - Remote

RN Clinical Reviewer / IDR - Remote (#25310C)

Location: Remote

Employment Type: Full-time

Hourly Rate: $50/hr

Position Overview:

Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a remote position at a non‑profit organization located in New York. Responsibilities focus 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 Paid Vacation based on accruals after 3 months of employment (2 weeks of Paid Vacation with accrual starting your second year of employment).
• 6 Major Paid Holidays per year (after 3 months of employment).
• 5 Sick Days (40 Hours) subject to the provisions of NYS Paid Sick Leave Act.
• 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 Paychex, such as Payactiv.

GLHS is a great company to work for: 93% retention of employees 2 years+, Google reviews, great company culture, etc.

Work Schedule:

Full-time

Professional Growth:

Gain valuable experience in medical‑legal review and dispute resolution.

Impactful Work:

Contribute to fair resolution processes in healthcare disputes.

Qualifications:

Education: Baccalaureate degree in Nursing or a graduate of an approved RN program.

Licensure: Current New York 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 collaborative 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.
• Act as a resource for the administrative and clinical staff in training, problem‑solving, and clarifying determinations. Will provide technical assistance and conduct/participate in staff huddles.
• Participate in collaborative training.
• Other activities as may be deemed necessary.