Join Us! RN Clinical Reviewer – $45–$50/hr + Flexible Schedule – Jericho, NY

Job description

Registered Nurse Clinical Reviewer

✅ Why Join Us
✔️ Competitive Compensation: $45–$50/hr based on experience
✔️ Benefits: 5 Sick Days (40 hrs), Paychex benefits including Payactiv
✔️ Culture: 93% employee retention 2+ years, strong company culture, excellent Google reviews
✔️ Work Schedule: Full-time, Monday–Friday
✔️ Professional Growth: Gain experience in utilization review, quality improvement, and clinical data analysis
✔️ Impactful Work: Contribute to a mission-driven organization improving patient outcomes

✅ Qualifications
✔️ Baccalaureate degree in Nursing or approved RN training program
✔️ Active New York State RN license
✔️ 2+ years acute care experience (medicine/surgery or special care units) and/or 1–3 years acute care utilization review
✔️ EMR experience, including utilization, quality, and clinical charting
✔️ Strong collaboration, problem-solving, and communication skills

✅ Key Responsibilities
✔️ Conduct utilization reviews, including appeal-level decisions
✔️ Complete quality and clinical study data collection reviews
✔️ Act as a resource for administrative staff: training, problem solving, clarifying procedures
✔️ Participate in collaborative training specific to clinical study objectives
✔️ Perform other duties as necessary to support quality initiatives

• Comprehensive Benefits