Job Description

Registered Nurse Clinical Reviewer / AIMS - Remote (#25299A)

• Location: Remote
• Employment Type: Full-time
• Hourly Rate: $50/hr

About Greenlife Healthcare Staffing:

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

Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer to join a Non-profit organization located in New York. This fully remote position involves conducting utilization reviews and quality study data collection, ensuring compliance and accuracy in healthcare documentation for a respected non-profit organization.

Why Join Us?

• Work Schedule: Full-time, Remote. Sunday to Thursday schedule
• Professional Growth: Gain valuable experience in utilization review and clinical data analysis
• Impactful Work: Contribute to healthcare quality improvement and accurate data collection

Key Responsibilities:

• Conduct utilization reviews up to and including the appeal level. This includes chart screen, completing electronic worksheets, entering the required information, and making level one denial decisions when necessary.
• Conduct quality and clinical study data collection reviews. This includes a chart review, complete detailed electronic data worksheets.
• Act as a resource for the administrative staff in training, problem-solving, and clarifying procedures. Will provide technical assistance and conduct/participate in staff huddles.
• Participate in collaborative training specific to clinical study objectives.
• Other activities as may be deemed necessary.

Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives

Requirements

Qualifications:

• Education: Graduate of an accredited nursing program
• Licensure: Active New York State RN license
• Experience: Must have 1-3 years of experience in acute care utilization review/appeals background.
• Technical Skills: Must be comfortable working on a computer. Familiar with Outlook, spreadsheets, and Word.
• Soft Skills: Strong analytical abilities, attention to detail, and ability to work independently in a remote environment

Benefits

• Competitive Compensation: Earn $50 per hour
• 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
• 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
• 401k 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.