Job Description

Job Description

Job Description

Based in Albany, NY, 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.

Potential opportunity to telecommute will be considered.

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.
• Ability to travel as needed, required.
• Ability to work weekends and holiday on-call, as needed, on a rotating basis, required.
• Must have a valid driver's license & the ability to travel to on-site facilities review assignments.

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.
• Three (3) years of clinical experience in a medical facility, preferably a nursing home.
• Surveyor Minimal Qualifications Test (SMQT) certification, preferred. If not certified, within 12 months of employment, must obtain the online SMQT certification.

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 $35.90 – $36.92. 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.

IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status.

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