Healthcare Investigator

1 week ago


Albany, New York, United States InGenesis Full time

About InGenesis

InGenesis is one of the largest staffing firms in the industry and a leading provider of healthcare staffing services. With almost half of the Fortune 500 as clients, we are dedicated to placing skilled professionals in positions that preserve life and improve lives.

Job Summary

We are seeking an experienced Registered Nurse to work with our client in Albany, NY. As a Healthcare Investigator, you will be responsible for performing medical reviews and investigations to identify appropriateness of care provided.

Responsibilities

  • Conduct medical reviews, including clinical reviews of medical records to identify violations of NYS Public Health Law, Section 230
  • Investigate complaints and develop an investigative plan for cases involving physician misconduct
  • Coordinate with Medical Coordinators to review patient files and opine on standard of care
  • Draft correspondence to subjects of investigation in compliance with NYS Public Health Law, Section 230
  • Obtain and review confidential data necessary to locate subjects of investigation
  • Review and summarize all previous OPMC investigations of the subject physician
  • Document all investigative actions using the established OPMC protocol
  • Maintain the OPMC database iTrak to reflect completed investigative actions

Requirements

  • Registered Nurse with current license and registration, and no disciplinary actions on license
  • Minimum five years of clinical experience
  • Three (3) years of investigative experience
  • Knowledge of current investigative techniques
  • Computer skills, including basic word processing and database applications
  • Excellent written and oral communication skills
  • Good customer service skills
  • Experience with professional medical conduct process

Compensation

The estimated salary range for this position is $85,000 - $110,000 per year, commensurate with experience. We offer a competitive benefits package, including health insurance, retirement savings plan, and paid time off.



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