Complaint Intake and Triage Nurse Reviewer
About The Position
Greenlife Healthcare Staffing is seeking a Complaint Intake and Triage Nurse Reviewer to work at the direction of the New York State Department of Health (NYSDOH) Nursing Home Centralized Complaint Intake Unit (NH CCIU). This remote role performs clinical reviews and triages complaints and incident reports for possible noncompliance. Submissions may arrive by telephone, electronically, by postal mail, or through other forums. The position is intended for a registered nurse with clinical and investigative skills who is committed to protecting resident health and safety in long-term care settings. The role includes assessing complaints, assigning severity according to federal triage guidelines, entering data, documenting findings, and identifying appropriate actions under federal triage protocols. The reviewer follows NYSDOH policies, procedures, and work schedules, and may need to travel to fulfill training requirements.
Requirements
- New York State Registered Professional Nurse (RN).
- Two years of experience performing utilization review, medical review, fraud investigations, surveillance, or monitoring activities at the facility level.
- Three years of clinical experience in a medical facility.
- Strong interpersonal skills.
- Excellent verbal and written communication skills.
- Ability to work independently with minimal supervision.
- Ability to relate effectively to providers, physicians, senior medical and administrative personnel, and residents or patients.
- Basic computer skills, including working knowledge of Microsoft Office products.
- Ability to obtain Surveyor Minimum Qualification Test Certification within 12 months of employment.
- Valid driver's license.
- New York State residency.
Nice To Haves
- Clinical experience in a nursing home is preferred.
Responsibilities
- Perform clinical reviews and triage complaints and incident reports for possible noncompliance, regardless of submission method.
- Triage complaints by severity consistent with federal triage guidelines.
- Perform data entry and identify appropriate actions consistent with federal triage protocols.
- Conduct thorough assessments of complaints to determine the appropriate course of action.
- Document findings accurately and in a timely manner.
- Collaborate with team members and other stakeholders as needed to support effective complaint resolution.
- Participate in required training and professional development activities.
- Adhere to NYSDOH policies, procedures, and work schedules.
- Perform other activities as deemed necessary.
Benefits
- Five sick days (40 hours), subject to the provisions of the NYS Paid Sick Leave Act.
- Health insurance, subject to plan eligibility requirements.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
