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Complaint Intake and Triage Nurse Reviewer

Job not on LinkedIn

🔥 4 minutes ago

🗽 New York – Remote

infoinfo

💵 $50 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

Where this job comes from

Posted on Greenlife Healthcare Staffing's careers page, not through a job board

First seen by Remote Rocketship 4 minutes ago

Logo of Greenlife Healthcare Staffing

Greenlife Healthcare Staffing

11 - 50 employees

🎯 Recruiter

🏥 Healthcare

Recruitment • Healthcare

Greenlife Healthcare Staffing is a New York based healthcare recruitment agency specializing in permanent hires and locum tenens. They match physicians and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices. By collaborating closely with clients, Greenlife aims to understand their performance and reduce costs, while maintaining high-quality patient care. The company emphasizes integrity, honesty, and transparency in its operations, influencing careers and lives through their staffing solutions.

📋 Description

• 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

🎯 Requirements

• Strong interpersonal skills • 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 obtain Surveyor Minimum Qualification Test Certification within 12 months of employment • Travel may be required to fulfill training requirements • Must have a valid driver's license • Must be a New York State resident • 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

🏖️ Benefits

• 5 Sick Days (40 Hours) subject to the provisions of the NYS Paid Sick Leave Act • Health insurance is subject to plan eligibility requirements • Gain valuable experience in complaint triage, clinical review, and regulatory compliance with the NYS Department of Health • Contribute to a mission-driven organization dedicated to improving patient outcomes by identifying potential noncompliance and ensuring the safety and well-being of nursing home residents

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