Registered Nurse Clinical Reviewer (IDR)

• Competitive pay of $60/hour, based on experience.
• 1 week paid vacation after 3 months (2 weeks starting your second year).
• 6 major paid holidays per year (after 3 months).
• 5 sick days (40 hours), per the NYS Paid Sick Leave Act.
• License reimbursement after 1 year.
• Health insurance (subject to plan eligibility).
• 401(k) match eligibility after 1 year.
• Additional benefits including Payactiv (earned wage access).
• Strong culture and retention — 93% of our team stays 2+ years.
• The opportunity to develop expertise in independent dispute resolution (IDR), medical-legal review, and appeals.
• Meaningful work improving patient outcomes through fair, evidence-based clinical determinations.

• Baccalaureate degree in Nursing, or graduate of an approved Registered Professional Nurse training program.
• Licensed as a Registered Professional Nurse in New York State.
• 1–3 years of experience in utilization review and/or appeals (required).
• At least 3 years of experience in a med-legal review setting.
• Knowledge of and experience with electronic medical records (EMR).
• Ability to oversee, problem-solve, and work collaboratively with peers and medical, analytical, and administrative staff.
• Excellent written and verbal communication.
• Able to work independently with little supervision; flexible, innovative, and creative.
• Able to meet deadlines in a time-sensitive environment.

• Conduct reviews up to and including the appeal level — chart screens, compiling regulatory guidance, researching insurer requirements, completing electronic worksheets, and preparing final determinations.
• Serve as a resource to administrative and clinical staff for training, problem-solving, and clarifying determinations; provide technical assistance and participate in staff huddles.
• Participate in collaborative training.
• Other activities as needed.

We are committed to our core values: integrity, honesty, and transparencyFinding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming.At Greenlife our mission is to make this process easier for you and help you through all the steps necessary to find that perfect new position or the healthcare professional to round out your team.We understand that every situation is different and our approach reflects that: we value personalized interaction with job seekers and employers, our searches are customized not cookie-cutter and our results speak for themselves: Happy job seekers and employers who found the right professional match through our services.