Complaint Intake and Triage Nurse Reviewer

• Complaint Intake and Triage Nurse Reviewer - Remote (#25350)
• Location: Remote
• Employment Type: Full-time
• Hourly Rate: $50/hr

About Greenlife Healthcare Staffing:

Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals.

Position Overview:

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). In this remote role, you will perform clinical reviews and triage complaints and incident reports for possible noncompliance, received via telephone, electronic or postal mail, or other forums.

This position is ideal for an RN with strong clinical and investigative skills who is passionate about protecting resident health and safety in long-term care settings.

Requirements

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.
• The ability to obtain Surveyor Minimum Qualification Test Certification within 12 months of employment, required.
• Travel may be required to fulfill training requirements.
• Must have a valid driver's license.
• Must be a New York State resident.
• 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, required.
• Three (3) years of clinical experience in a medical facility, preferably a nursing home, required.

Key Responsibilities:

• Perform 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.
• 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 training and professional development activities as required.
• Adhere to NYSDOH policies, procedures, and work schedules.
• Perform other activities as may be deemed necessary.