Adjudication, Administrative Skills, Data Entry, Driver's License, Federal Laws and Regulations, Fraud Investigation, Health Insurance, Healthcare, Hospital, Long-Term Care, Nursing, Nursing Home, Registered Nurse (RN), Reimbursement, State Laws and Regulations, Surveillance, Utilization Management, Willing to Travel
Registered Nurse - Nursing Home Surveyor/Complaint Investigator - New Rochelle, NY (#25141A)
Greenlife Healthcare Staffing is currently seeking a Registered Nurse - Nursing Home Surveyor/Complaint Investigator to fill an opening with a Review Company located in New Rochelle, New York.
Requirements of the Registered Nurse -Nursing Home Surveyor/Complaint Investigator:
- Must have an NYS Registered Nurse license.
- Must have a minimum of 2 years experience performing utilization review, claims adjudication, medical review, fraud investigation, surveillance, or monitoring activities; OR
- 3 years of clinical or administrative experience; OR
- A Bachelor’s degree in nursing and 2 years of clinical or administrative experience.
- SMQT Certification is preferred but should be able to obtain within 12 months of employment.
- Must have a valid driver's license & the ability to travel to on-site facilities to review assignments.
- Must have at least one (1) year of survey experience.
- Employees must be available to work weekends, holidays, and evening shifts, as needed.
- Candidates must be flexible with scheduling, as the state will determine the work schedule.
- Weekend, holiday, and evening shift schedules will be assigned on a rotating basis.
- This is a travel position.
- Candidates will receive a premium pay rate for working on holidays and overtime.
Benefits of the Registered Nurse - Nursing Home Surveyor/Complaint Investigator:
- The salary for this position is $60 / hr.
- Mileage reimbursement.
- Flexible Schedule.
- This is a temporary-to-permanent position.
- 5 sick days (40 hours), subject to the provisions of the NYS Paid Sick Leave Act.
- Health insurance, subject to plan eligibility requirements.
Responsibilities of the Registered Nurse - Nursing Home Surveyor/Complaint Investigator:
- Participate in surveys or complaint investigations to include allegations of abuse and neglect, and perform surveillance activities/tasks at nursing homes (long-term care) to determine compliance with Federal and State regulations.
- Produce written documentation and draft a Statement of Deficiencies (SOD) within the required time frame, using Principles of Documentation.
- Assess compliance with the Plan of Correction within the required time frame.
- Complete data entry in Federal and State reporting databases as required.
- Participate in State monitoring during Immediate Jeopardy situations.
- Attend meetings as required.
- Testify in administrative hearings as needed.
- Adhere to DOH work schedules.
- Adhere to DOH and company policies, and procedures.
- Travel to onsite locations according to work schedule.
About Greenlife Healthcare Staffing:We are committed to our core values: integrity, honesty, and transparencyFinding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming.At Greenlife our mission is to make this process easier for you and help you through all the steps necessary to find that perfect new position or the healthcare professional to round out your team.We understand that every situation is different and our approach reflects that: we value personalized interaction with job seekers and employers, our searches are customized not cookie-cutter and our results speak for themselves: Happy job seekers and employers who found the right professional match through our services.
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Greenlife Healthcare Staffing