Job Description

Registered Nurse Clinical Reviewer / IDR – Lake Success, NY

Job ID: #25203

Location: Lake Success, NY

Employment Type: Full-Time (6-Month Contract)

Compensation: $60 per hour (based on experience)

Organization: GreenLife Healthcare Staffing

Position Overview

GreenLife Healthcare Staffing is seeking a Registered Nurse Clinical Reviewer for a non-profit organization located in Lake Success, NY . This is a contract position with potential for extension based on performance and client needs. Candidates should have a utilization review or appeals background (1–3 years) and be comfortable working in a fast-paced, deadline-driven environment.

Why Join GreenLife?

GreenLife Healthcare Staffing is a trusted, nationwide recruitment agency connecting healthcare professionals with top-tier opportunities in hospitals, clinics, non-profits, private practices, and multi-specialty groups. We support professionals at every stage of their careers.

Key Responsibilities

• Conduct clinical reviews, including chart screening and appeal-level reviews
• Research and apply regulatory guidance and insurer requirements
• Complete electronic worksheets and prepare final determination reports
• Serve as a resource for training and technical assistance to clinical and administrative staff
• Lead or participate in team huddles and collaborative training sessions
• Support continuous improvement in review processes and workflow
• Perform other related duties as assigned

Requirements

Required Qualifications

• Licensed Registered Nurse in New York State
• BSN or graduate of an approved RN training program
• 1–3 years of experience in utilization review or appeals
• Familiarity with electronic medical records (EMRs)
• Ability to work independently and meet strict deadlines
• Strong communication skills (written and verbal)
• Team-oriented, problem-solving mindset
• Experience in a medical-legal review setting is a plus

Benefits

Compensation & Schedule

• Hourly Rate: $60/hour (based on experience)
• Type: Full-time, 6-month contract (potential to extend)
• Location: On-site or hybrid (if applicable) – Lake Success, NY

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