Part-Time Healthcare Facility Nurse Inspector/Investigator - 61006219

State of South CarolinaLexington County, SC
Hybrid

About The Position

Under general supervision, performs comprehensive triage of complaints, incident/accident, and facility reported incidents (FRI's) according to Medicare/Medicaid certification and State standards for compliance with Federal, State, and other applicable laws and regulations for Healthcare Quality. Reviews complaint allegations and assures that they are appropriately logged. Triages complaints received utilizing Healthcare Quality protocols. Review of incident and accident reports. Prepares complaint intake documentation and researches and responds to queries from Regional Long-Term Ombudsman. Determine the scope of complaints and inquires in accordance with Healthcare Quality guidelines. Meets deadlines with effective and complete written correspondence, documentation, and data entry. Participates with other team members and members of other program areas to identify concerns, solve problems, and make decisions in a rational process. Assist with quality improvement planning when requested and attends team meetings when needed. Provides clinical information and guidelines to staff when requested. Ability to apply critical thinking to triage complaints, incident/accident, and FRI's. Performs other duties as necessary, including but not limited to participates in preparing and presenting for hearings and trials. Review of Informal Dispute Resolution (IDR) and Independent Informal Dispute Resolution (IIDR) request when needed.

Requirements

  • Graduation from an accredited school of nursing.
  • Licensed as a registered nurse by the State Board of Nursing for South Carolina.
  • Must hold an active South Carolina nursing license in good standing, or a valid multistate license in good standing from a Nurse Licensure Compact (NLC) participating state.

Nice To Haves

  • A master’s degree in nursing; or bachelor’s degree in nursing with two (2) years clinical experience as a Registered Nurse; or associate degree or diploma in nursing with four (4) years of clinical experience as a Registered Nurse.
  • Reside 50 miles of Columbia.

Responsibilities

  • Performs comprehensive triage of complaints, incident/accident, and facility reported incidents (FRI's) according to Medicare/Medicaid certification and State standards for compliance with Federal, State, and other applicable laws and regulations for Healthcare Quality.
  • Reviews complaint allegations and assures that they are appropriately logged.
  • Triages complaints received utilizing Healthcare Quality protocols.
  • Reviews incident and accident reports.
  • Prepares complaint intake documentation and researches and responds to queries from Regional Long-Term Ombudsman.
  • Determines the scope of complaints and inquiries in accordance with Healthcare Quality guidelines.
  • Meets deadlines with effective and complete written correspondence, documentation, and data entry.
  • Participates with other team members and members of other program areas to identify concerns, solve problems, and make decisions in a rational process.
  • Assists with quality improvement planning when requested and attends team meetings when needed.
  • Provides clinical information and guidelines to staff when requested.
  • Applies critical thinking to triage complaints, incident/accident, and FRI's.
  • Performs other duties as necessary, including but not limited to participates in preparing and presenting for hearings and trials.
  • Reviews Informal Dispute Resolution (IDR) and Independent Informal Dispute Resolution (IIDR) requests when needed.

Benefits

  • 15 days Annual (Vacation) Leave per year
  • 15 days Sick Leave per year
  • 13 Paid Holidays
  • Paid Parental Leave
  • Health, dental, vision, long-term disability, and life insurance for employees, spouse, and children.
  • S.C. Deferred Compensation Program available
  • Retirement benefit choices
  • State Retirement Plan (SCRS)
  • State Optional Retirement Program (State ORP)
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