RN Clinical Reviewer – Hybrid Role | Jericho, NY | $50–$60/hr

Job description

(#25310): RN Clinical Reviewer / IDR
Location: Hybrid (Remote to Office-Based) – Jericho, NY 11753
Employment Type: Full-time
Hourly Rate: $50/hr remote → $60/hr office-based

✅ Why Join Us
✔️ Competitive pay: $50/hr remote, $60/hr office-based
✔️ Paid vacation, holidays, sick days
✔️ License reimbursement after 1 year
✔️ Health insurance & 401(k) matching
✔️ Benefits from Paychex (Payactiv)
✔️ Strong company culture, 93% retention rate

✅ Qualifications
✔️ BSN or RN program graduate
✔️ Current NY RN license
✔️ 3+ years Med-Legal review experience
✔️ 1–3 years acute care utilization/appeals background
✔️ EMR proficiency, strong communication & problem-solving skills

✅ Key Responsibilities
✔️ Conduct medical-legal reviews & appeals
✔️ Research insurer requirements & regulatory guidance
✔️ Prepare determinations & electronic worksheets
✔️ Support staff with training, problem-solving, and huddles
✔️ Participate in collaborative training initiatives