Adjudication, Administrative Skills, Analysis Skills, Communication Skills, Computer Skills, Data Entry, Detail Oriented, Driver's License, Federal Laws and Regulations, Fraud Investigation, Health Insurance, Healthcare, Hospital, Interpersonal Skills, Long-Term Care, Maintain Compliance, Nursing, Nursing Home, Quality Management, Quality of Care, Registered Nurse (RN), Reimbursement, State Laws and Regulations, Surveillance, Team Player, Utilization Management, Willing to Travel
Registered Nurse – Nursing Home Surveyor / Complaint Investigator – New York City, NY
Location: New York City, NY (Bronx, Kings, Richmond, Manhattan, and Queens) — travel position
Employment Type: Full-time
Pay: $60/hour, plus mileage reimbursement and premium pay for holidays and overtime
Position Overview:
We are seeking a dedicated and experienced Registered Nurse – Nursing Home Surveyor / Complaint Investigator to join our team across New York City (Bronx, Kings, Richmond, Manhattan, and Queens). In this role, you'll conduct surveys, complaint investigations, and surveillance activities at nursing homes to ensure compliance with federal and state regulations.
Why You'll Love Working Here:
- Competitive pay of $60/hour, with mileage reimbursement.
- 5 sick days (40 hours), per the NYS Paid Sick Leave Act.
- Health insurance (subject to plan eligibility).
- Premium pay for holiday work and overtime.
- A flexible schedule with room to grow.
- Meaningful work protecting residents and improving quality of care in long-term care settings.
Qualifications:
- Bachelor's degree in Nursing.
- Active NYS Registered Nurse license.
- Minimum 2 years of experience in 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
- At least 1 year of survey experience (required).
- SMQT certification preferred, but must be obtained within 12 months of employment.
- Strong computer skills with the ability to learn new programs.
- Strong attention to detail, excellent interpersonal and communication skills, and superior investigative and analytical abilities.
- Able to work independently and as part of a team.
- Valid driver's license and ability to travel to on-site facilities.
Additional Requirements:
- Flexibility with scheduling, as the state determines the work schedule.
- Availability to work weekends, holidays, and evening shifts on a rotating basis, as needed.
- This is a travel position.
Key Responsibilities:
- Participate in surveys and complaint investigations, including allegations of abuse and neglect, at nursing homes (long-term care facilities).
- Produce written documentation and draft Statements of Deficiencies (SOD) within required time frames, using Principles of Documentation.
- Assess compliance with Plans of Correction within required time frames.
- Complete data entry in federal and state reporting databases as required.
- Participate in state monitoring during Immediate Jeopardy situations.
- Attend meetings and testify in administrative hearings as needed.
- Adhere to DOH work schedules, policies, and procedures.
- Travel to on-site locations according to the 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