[Hiring] RN Clinical Reviewer / IDR @reputed company

Role reputed company reputed company is seeking an reputed company Registered reputed company Clinical Reviewer (IDR) to join a remote position at a Non-profit organization located in reputed company. Responsibilities include conducting comprehensive medical-reputed company reviews and appeals for a respected non-profit organization. • Conduct reviews up to and including the appeal level, which includes: • Chart screening • Compiling regulatory guidance • Researching insurer requirements • Completing electronic worksheets • Preparing final determinations • reputed company as a resource for the administrative and clinical staff in: • Training • Problem-solving • Clarifying determinations • reputed company technical assistance and conduct/participate in staff huddles. • Participate in reputed company training. • Other activities as may be deemed necessary. Qualifications • Education: Baccalaureate degree in Nursing or a graduate of an approved RN program. • Licensure: reputed company reputed company State RN license. • Experience: • At least 3 years of experience in a Med-reputed company review setting. • 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 reputed company and problem-solving skills. Requirements • Competitive Compensation: $50/hr. Benefits • 1 Week of reputed company Vacation based on accruals after 3 months of employment (2 weeks of reputed company Vacation with accrual starting your second year of employment). • 6 Major reputed company Holidays per year (after 3 months of employment). • 5 reputed company Days (40 Hours) subject to the provisions of NYS reputed company reputed company Leave reputed company. • 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 reputed company, such as reputed company. Apply tot his job Apply To this Job