Complaint Intake and Triage Nurse Reviewer

GreenLife Healthcare Staffing•New York, NY

3d•Remote

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 position involves clinical review and triage of complaints and incident reports for possible noncompliance, received by telephone, electronic or postal mail, or other forums. The role focuses on protecting resident health and safety in long-term care settings through complaint assessment, documentation, and regulatory review. The position is full-time and pays $50 per hour. The nurse reviewer must be a New York State resident and hold a valid driver's license. Travel may be required to fulfill training requirements. The employee must obtain Surveyor Minimum Qualification Test Certification within 12 months of employment.

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; nursing home experience is preferred.
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/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.

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 ensure 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.