Complaint Intake and Triage Nurse Reviewer (RN req’d)

IPRO•Albany, NY

8d•$41 - $42

About The Position

Working at the direction of the New York State Department of Health (NYSDOH) Nursing Home Centralized Complaint Intake Unit (NH CCIU), the Complaint Intake and Triage Nurse Reviewer performs clinical reviews and triages complaints and incident reports for possible noncompliance. Submissions may be received by telephone, electronic or postal mail, or other forums. The reviewer assesses submissions regardless of method, triages complaints by severity consistent with federal triage guidelines, performs data entry, and identifies appropriate actions consistent with federal triage protocols. The position is listed for the Albany Region and includes a $3,000 sign-on bonus. The successful applicant must obtain Surveyor Minimum Qualification Test (SMQT) Certification within 12 months of employment. Travel may be required 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; 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 all Microsoft Office products.
Ability to obtain Surveyor Minimum Qualification Test Certification within 12 months of employment.
Valid driver's license.
Must be a New York State resident.

Nice To Haves

Clinical experience in a nursing home is preferred.

Responsibilities

Perform clinical reviews of complaints and incident reports for possible noncompliance.
Review submissions received by telephone, electronic or postal mail, or other forums, irrespective of submission method.
Triage complaints by severity consistent with federal triage guidelines.
Perform data entry.
Identify appropriate actions consistent with federal triage protocols.