Clinical Nurse Reviewer (RN)

Registered Nurse (RN) Clinical Reviewer – Temp to Hire
Jericho, NY
$43–$45 per hour
Monday – Friday, 8:30 AM – 5:00 PM

About the Role:
Horizon Healthcare Staffing is seeking an experienced Registered Nurse (RN) Clinical Reviewer for a temp-to-hire opportunity in Jericho, NY. This position is ideal for an RN with strong clinical experience and attention to detail who is interested in medical review, appeals, and case management work in an office-based setting.

Responsibilities:

• Conduct daily reviews for external appeal contracts.
• Support physician reviewers by preparing case summaries and highlighting issues.
• Develop and improve review tools as new products are created.
• Screen, document, and write up external appeal review cases.
• Communicate with patients, insurers, and providers regarding the appeal process.
• Track cases to ensure compliance with required timelines.
• Prepare final determination reports for external appeals.

Qualifications:

• Current Registered Nurse (RN) license in New York State (required).
• Bachelor’s Degree in Nursing (BSN) or graduation from an approved RN training program.
• Minimum of 4 years of clinical experience in an acute care facility.
• Strong written and verbal communication skills.
• Ability to work independently with minimal supervision.
• Proficient with Microsoft Word and Excel.