A Registered Nurse provides medical care and treatment, educates patients about their conditions, and provides emotional support to patients and families. Works in hospitals, schools, clinics or community health centers. Works under the supervision of a physician or other specialist, and serves as the primary point of care for patients in a hospital setting. May specialize in emergency room work, or treatment for a particular condition, or specialize in working with infants, the elderly or other patient groups. May work as an advanced practice specialists and prescribe medications in addition to offering specialty care.
Registered Nurse Clinical Reviewer - Utilization Review - Nassau County, NY Horizon Healthcare Staffing is hiring a Registered Nurse Clinical Reviewer for a temp-to-perm opportunity in Jericho, NY. This is an onsite, Monday through Friday position for an experienced RN with a background in clinical review, utilization review, quality review, acute care, or electronic medical record documentation. The RN Clinical Reviewer will complete activities related to utilization review and quality review and will use clinical knowledge to support accurate, appropriate, and timely review processes.
Job Details Position:
Registered Nurse Clinical Reviewer License:
Registered Nurse, RN Location:
Nassau County, NY Job Type:
Temp-to-perm Schedule:
Monday through
Friday Hours:
9:00 AM - 5:30
PM Setting:
Office-based clinical review position
Pay:
$45-$50 per hour RN Clinical Reviewer Responsibilities The Registered Nurse Clinical Reviewer will be responsible for completing clinical-level reviews and supporting the overall medical review process.
Responsibilities include:
Complete utilization review and quality review activities as assigned Review clinical documentation, medical records, and chart information for accuracy and completeness Apply nursing knowledge to evaluate clinical information according to review program requirements Support Medical Review Analysts and Physician Consultants throughout the review process Identify clinical trends, documentation concerns, or issues requiring additional review Communicate findings clearly and professionally Work collaboratively with clinical, medical, analytical, and administrative support teams Assist with problem-solving related to clinical review workflows Maintain accurate documentation of review activities Follow established policies, procedures, and program guidelines Use electronic medical record systems and clinical documentation platforms as needed Requirements Qualified candidates should have: Active New York State Registered Professional Nurse license Bachelor's degree in Nursing or graduation from an approved Registered Professional Nurse training program Minimum of 2 years of experience in an acute care facility Medical/surgical, special care unit, or similar acute care experience preferred 1-3 years of acute care utilization review experience preferred Knowledge of electronic medical records Experience with utilization review, quality review, or clinical charting Strong clinical assessment and documentation review skills Excellent written and verbal communication skills Ideal Candidate This position is a strong fit for an RN who: Has acute care nursing experience and wants to transition into a clinical review role Has experience in utilization review, quality review, case review, or chart review Is comfortable reviewing medical records and clinical documentation Can work independently in an office-based environment Communicates professionally with clinical and administrative teams Has strong attention to detail and enjoys analytical nursing work Why Apply? Monday through Friday schedule No weekend schedule listed Office-based role in Jericho, NY Opportunity to use clinical nursing experience in a review-focused position Great fit for RNs with acute care, utilization review, quality review, or EMR experience Apply Today Apply today for this Registered Nurse Clinical Reviewer opportunity in Jericho, NY. Qualified candidates will be contacted to discuss the position, onboarding process, and next steps. #
