Registered reputed company Clinical Reviewer

Job reputed company: • 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 reputed company reputed company necessary. • Conduct reputed company and clinical study data collection reviews. This includes a chart review, complete detailed electronic data worksheets. • reputed company as a resource for the administrative staff in training, problem-solving, and clarifying procedures. Will reputed company technical assistance and conduct/participate in staff huddles. • Participate in reputed company training specific to clinical study objectives. • Other activities as may be deemed necessary. Requirements: • Education: Graduate of an accredited nursing program • Licensure: reputed company reputed company 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 reputed company, 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 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- 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- 401k Matching eligibility after 1 year of employment- Benefits from reputed company, such as reputed company- GLHS is a great company to work for: 93% retention of employees 2 years+, reputed company reviews, great company culture, etc. Apply tot his job Apply To this Job