Job Description

Registered Nurse - Remote, New York State (#25297).

Location: Remote.
Employment Type: Full-time.
Hourly Rate: $45/hr.

Position Overview:

We are seeking a detail-oriented Registered Nurse with strong editorial skills to review NYS Dispute Resolution and External Review determinations. This remote position combines clinical expertise with editorial precision to ensure accurate, compliant, and professionally presented case documents while improving team performance through error tracking and staff training.

Why Join Us?:

• Competitive Compensation: Earn $45 per hour.
• Comprehensive Benefits:
  • Vacation Leave.
  • 6 Major Paid Holidays per year.
  • 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: Full-time, Remote. Sunday to Thursday (9:00 AM - 5:30 PM).
• Professional Growth: Gain valuable experience in healthcare policy and medical editing.
• Impactful Work: Ensure accuracy and compliance in state healthcare dispute resolutions.

Qualifications:

• Education: Baccalaureate degree in Nursing or a graduate of an approved RN program.
• Licensure: Active New York State RN license.
• Experience:
  • Must have a minimum of 2 years of experience in an acute care facility, preferably in medicine/surgery or special care units, and one to 3 years of experience in acute care utilization review.
  • Must have post-graduate studies demonstrating proficiency in writing, editing, and proofing skills.
• Technical Skills: Must have knowledge and experience with electronic medical records, including coding, quality, and clinical charting.
• Soft Skills: Must have the ability to oversee, problem-solve, and work collaboratively with peers, medical, analytical, and administrative support staff.
• Other requirements: A writing sample or publication is required.

Key Responsibilities:

This individual will review all NYS Dispute Resolution and External Review determinations for accuracy of decisions, mathematical determinations, content, grammar, punctuation, and state-required conventions. They will utilize their clinical knowledge and editorial skills to produce a final, clean copy for each case determination. They will track errors and retrain clinical and administrative staff to mitigate production errors.

• Conduct a thorough review of pre-final dispute determinations using checklist tools.
• Make clinical and mathematical edits to responses using provided case documentation, as necessary.
• Consult with team members and supervisors as necessary to improve the final product.
• Complete edits check of content, references, grammar, spelling, and punctuation before release of final product.
• Maintain tracking and trending of errors and use findings to analyze areas of concern and highlight areas of improvement.
• Will provide technical assistance and conduct/participate in staff huddles.
• Other activities as may be deemed necessary.

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.

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