Complaint Intake and Triage Nurse Reviewer

Greenlife Healthcare Staffing

. Perform clinical reviews and triage complaints and incident reports for possible noncompliance, received via telephone, electronic or postal mail, or other forums .

Posted 11/10/2026full-timeRemote • New York • United StatesMid-LevelSenior💰 $50 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical reviews and complaint triage, adhering to federal guidelines and NYSDOH policies. Possesses strong communication and interpersonal skills to effectively collaborate with healthcare providers and stakeholders.

Highest-signal resume keywords

New York State Registered Professional Nurse (RN)Utilization Review ExperienceClinical Experience in Medical FacilitySurveyor Minimum Qualification Test CertificationComplaint Resolution

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical ReviewTriage ProtocolsData EntryComplaint AssessmentDocumentationUtilization ReviewFraud InvestigationsSurveillanceMonitoring Activities

Soft Skills

Interpersonal SkillsCommunication SkillsIndependent Work

Tools & Technologies

Microsoft Office

Certifications & Qualifications

Surveyor Minimum Qualification Test Certification

Industry Keywords

NYSDOH PoliciesFederal Triage GuidelinesHealthcare ComplianceMedical Facility ExperienceNursing Home Experience

About the role

Key responsibilities & impact

Perform clinical reviews and triage complaints and incident reports for possible noncompliance, received via telephone, electronic or postal mail, or other forums
Perform reviews irrespective of the submission method
Triage complaints by severity consistent with federal triage guidelines
Perform data entry and identify the appropriate actions consistent with federal triage protocols
Conduct thorough assessments of complaints to determine the appropriate course of action
Document findings accurately and in a timely manner
Collaborate with team members and other stakeholders as needed to ensure effective complaint resolution
Participate in training and professional development activities as required
Adhere to NYSDOH policies, procedures, and work schedules
Perform other activities as may be deemed necessary

Requirements

What you’ll need

Strong interpersonal skills
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 obtain Surveyor Minimum Qualification Test Certification within 12 months of employment
Travel may be required to fulfill training requirements
Must have a valid driver's license
Must be a New York State resident
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

Benefits

Comp & perks

5 Sick Days (40 Hours) subject to the provisions of the NYS Paid Sick Leave Act
Health insurance is subject to plan eligibility requirements
Gain valuable experience in complaint triage, clinical review, and regulatory compliance with the NYS Department of Health
Contribute to a mission-driven organization dedicated to improving patient outcomes by identifying potential noncompliance and ensuring the safety and well-being of nursing home residents