Strong interpersonal skills to engage effectively with diverse stakeholders.
Excellent verbal and written communication skills for clear reporting and documentation.
Ability to work independently with minimal supervision, demonstrating self-motivation.
Proficient in relating to providers, physicians, and administrative personnel in a healthcare setting.
Basic computer skills, including proficiency in Microsoft Office products.
Must obtain Surveyor Minimum Qualification Test Certification within 12 months of employment.
Valid driver's license and New York State residency required.
Responsibilities
Conduct clinical reviews and triage complaints and incident reports for noncompliance.
Perform data entry and maintain accurate records of complaints and incidents.
Triage complaints by severity according to federal guidelines.
Identify appropriate actions based on federal triage protocols.
Review complaints submitted via telephone, electronic, or postal mail.
Benefits
$3,000 sign-on bonus for new hires.
Opportunity to become SMQT Certified, enhancing professional credentials.
Potential for travel to fulfill training requirements.
Full Job Description
Working at the direction of the New York State Department of Health (NYSDOH)Nursing Home Centralized Complaint Intake Unit (NH CCIU), you will function as a Complaint Intake and Triage Nurse Reviewer performing clinical reviews and triage complaints and incident reports for possible noncompliance, received via telephone, electronic or postal mail, or other forums. Perform reviews irrespective of the submission method, triage complaints by severity consistent with federal triage guidelines, perform data entry, and identify the appropriate actions consistent with federal triage protocols.
Albany Region - Become SMQT Certified! ** $3,000 Sign-on Bonus**
QUALIFICATIONS:
Strong interpersonal.
Excellent communication (verbal & written) skills.
Ability to work independently with minimal supervision.
Ability to relate effectively to providers, physicians, senior medical and administrative personnel and resident/patients.
Basic computer skills, including working knowledge of all Microsoft Office products.
The ability to obtain Surveyor Minimum Qualification Test Certification within 12 months of employment, required.
Travel may be required to fulfill training requirements.
Must have a valid driver's license.
Must be a New York State resident.
EDUCATION & EXPERIENCE:
New York State Registered Professional Nurse (RN).
Two (2) years' experience performing utilization review, medical review, fraud investigations, surveillance or monitoring activities at the facility level, required.
Three (3) years of clinical experience in a medical facility, preferably a nursing home, required.
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The hourly range for this position is $40.90 - $41.92. Actual salary range and /or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget.
The salary range and/or hourly rate listed does not include other forms of compensation or benefits.
