- Salary
- $50+/hr
- Location
- Syracuse, New York, US
- Workplace
- Onsite
- Type
- Full-time
- Department
- Healthcare
- Education
- Bachelor
- Source
- BetterTeam
Description
Employment Type: Full-time
Rate: $50/hour
- Competitive rate of $50/hour.
- Mileage reimbursement.
- Sick leave.
- Full-time position with on-site travel requirements.
- Specialized experience in healthcare regulation and compliance.
- Mission-driven work contributing to quality improvement and resident safety in nursing homes.
- Premium pay rate for holidays and overtime.
- Nursing degree; Bachelor's in Nursing preferred.
- Current New York State RN license.
- A minimum of two (2) years of experience performing utilization review, claims adjudication, medical review, fraud investigation, surveillance, or monitoring activities; OR three (3) years of clinical or administrative experience; OR a Bachelor's degree in nursing and two (2) years of clinical or administrative experience.
- SMQT certification preferred; must be able to obtain within 12 months of employment.
- Strong interpersonal skills with the ability to facilitate positive customer satisfaction in adverse or controversial situations.
- Ability to work independently with minimal supervision, as well as in a team environment.
- Excellent written and verbal communication skills, with the ability to relate effectively to providers, physicians, senior medical and administrative personnel, and residents/patients.
- Superior investigative and analytical skills, with proficiency in conducting interviews with facility staff, residents, and families.
- Strong computer skills with the ability to learn new programs.
- Ability to travel to on-site locations.
- The work schedule is determined by the state; candidates must be flexible with scheduling.
- Must be available to work weekends, holidays, and evening shifts as needed, assigned on a rotating basis.
- This is a travel position.
- Participate in surveys or complaint investigations, including allegations of abuse and neglect, and perform surveillance activities 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 applicable work schedules, policies, and procedures.
- Travel to on-site locations according to the work schedule.