Nursing Home Surveyor and Complaint Investigator

4 weeks ago

New Rochelle, New York, United States GreenLife Healthcare Staffing Full time

Job Title: Registered Nurse - Nursing Home Surveyor/Complaint Investigator

Job Summary: We are seeking a skilled Registered Nurse to fill a position as a Nursing Home Surveyor and Complaint Investigator. The ideal candidate will have experience in performing utilization review, claims adjudication, medical review, fraud investigation, surveillance, or monitoring activities.

Responsibilities:

  • Participate in surveys or complaint investigations to determine compliance with Federal and State regulations.
  • Produce written documentation and draft a Statement of Deficiencies (SOD) within the required time frame.
  • 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.

Requirements:

  • 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.

Benefits:

  • The salary for this position is $57 / hr.
  • This is a Contract/Travel position.
  • Mileage reimbursement.
  • Flexible Schedule.

About Us: Greenlife Healthcare Staffing is a nationwide recruitment agency, matching both new grads and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices.

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