Nurse Reviewer- Per Diem

Lake Success, New York, United States | 900 | Full-time

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In the temporary Registered Professional Nurse position you will work under the direction of the Senior Director performing review of external appeals for private sector clients.  Duties include but are not limited to: Assisting physician reviewers with completing review activates, conducting on-site reviews and facility inspections for specific contracts, screening and write-up of external appeal review cases.  Preparing final report determinations for external appeals and participating in rotational schedule to ensure coverage for emergency appeals.

 

 QUALIFICATIONS:

  •  Strong interpersonal skills with the ability to effectively interact with physicians, senior medical and administrative personnel.
  • Strong communication skills (verbal and written).
  • The ability to working independently with minimal supervision.
  • Ability to meet short turnaround deadlines for deliverables.
  • Ability to provide rotating pager coverage for external appeals 24 hours/7 days per week.
  • Ability to travel to hospital/facility review assignments, as needed.

 

 EDUCATION & EXPERIENCE:

  • NYS Licensed Registered Nurse, required.
  • Graduate of an approved Registered Professional Nurses’ training program, required. A Bachelor’s degree in Nursing, preferred.
  • Four (4) years experience in an acute care facility preferably in medicine/surgery or special care units; and/or three (3) years experience in acute care utilization review.

 

IPRO is an Affirmative Action/Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.