Registered Nurse Clinical Reviewer CPD

Registered Nurse Clinical Reviewer / CPD - Remote (#25295A)

Location: Remote
Employment Type: Full-Time
Hourly Rate: $50/hr

About Greenlife Healthcare Staffing:

Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals clinics nursing homes multi-specialty groups and private practices to match talented individuals with roles that align with their skills and career goals.

Position Overview:

We are seeking a dedicated and detail-oriented Registered Nurse Clinical Reviewer for a fully remote opportunity with a mission-driven Non-profit this role you will be responsible for conducting utilization and quality reviews making critical decisions and contributing to clinical studies all from the comfort of your home.

Why Join Us

• Competitive Compensation: Earn a highly competitive hourly rate of $50.
• Comprehensive Benefits:
  • 1 Week of Paid Vacation based on accruals after 3 months of employment (2 weeks of Paid Vacation with accrual starting your second year of employment)
  • 6 Major Paid Holidays per yearbased on accruals after 3 months of employment
  • 5 Sick Days (40 Hours) subject to the provisions of NYS Paid Sick Leave Act
  • 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 Paychex such as Payactiv
  • GLHS is a great company to work for: 93% retention of employees 2 years Google reviews great company culture etc.
• Work Schedule: Enjoy the flexibility and work-life balance of a fully remote position.
• Professional Growth: Gain valuable experience in a collaborative innovative and supportive environment.
• Impactful Work: Contribute to a mission-driven organization dedicated to improving patient outcomes.

Qualifications:

• Education: Graduate of an accredited nursing program.
• Licensure: Must have an active and unrestricted New York State Registered Nurse (RN) license.
• Experience: 1-3 years of experience in acute care utilization review and appeals.
• Technical Skills: Proficient with computers; familiar with Microsoft Outlook spreadsheets (Excel) and Word.
• Soft Skills: Strong analytical problem-solving and communication skills. Ability to work independently and act as a resource for administrative staff.

Key Responsibilities:

• Conduct utilization reviews up to and including the appeal level including chart screens completing electronic worksheets and making level one denial decisions when necessary.
• Perform quality and clinical study data collection reviews which involve detailed chart reviews and completing electronic data worksheets.
• Act as a resource for administrative staff by providing training technical assistance problem-solving and clarifying procedures.
• Participate in collaborative training specific to clinical study objectives and staff huddles.
• Perform other duties as assigned to support the team and organizational goals.

How to Apply:

If you are ready to take the next step in your nursing career and make a difference in the healthcare industry we want to hear from you! Submit your Resume/CV to or call our office at to learn more about this opportunity and others we offer.

Greenlife Healthcare Staffing - Empowering Healthcare Professionals Enriching Lives.

Required Experience:

IC