Complaint Intake and Triage Nurse Reviewer (RN req’d)

Strong interpersonal. 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 travel as needed, required. Ability to work weekends and holiday on-call, as needed, on a rotating basis, required. Must have a valid driver's license & the ability to travel to on-site facilities review assignments. EDUCATION & EXPERIENCE: 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. Surveyor Minimum Qualifications Test (SMQT) certification, preferred. If not certified, within 12 months of employment, must obtain the online SMQT certification.

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