Registered Nurse Case Investigator

Albany, NY

Posted: 11/27/2024 Industry: Healthcare Jobs Job Number: 24-12738 Pay Rate ($): 75.0

Job Description


Health Advocates Network is currently seeking a Registered Nurse Case Investigator to work at a facility in Albany, New York. These are registry positions with our company. *$100 Sign-On Bonus*

Pay Rate: $75 / hour
*W2

Shift details:

  • M-F 9AM-5PM


MINIMUM QUALIFICATIONS:

  • Registered Nurse with current license and registration and no disciplinary actions on license.
  • Minimum five years of clinical experience.

PREFERRED QUALIFICATIONS:

  • Three (3) years investigative experience.
  • Knowledge of current investigative techniques.
  • Computer skills to include basic word processing and database applications.
  • Excellent written and oral communication skills.
  • Good customer service skills.
  • Experience with the professional medical conduct process.

JOB DUTIES AND RESPONSIBILITIES:

  • Perform medical reviews, including clinical reviews of medical records to identify appropriateness of care provided based on generally accepted minimum standards of medical practice.
  • Responsible for investigating complaints and developing an investigative plan for cases involving violations of NYS Public Health Law, Section 230.
  • Conduct telephone interviews of complainants and physicians.
  • Coordinate with Medical Coordinators to review patient files to 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 which may be 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 all completed investigative actions.
  • Prepare investigative summary of all actions including recommendation for disposition of cases.
  • Prepare correspondence to complainant and physician advising of disposition of case, as appropriate.
  • Prepare and present cases before Investigation Committee of the Board for Professional Medical Conduct when evidence of misconduct is identified.
  • Respond to telephone calls from the public with questions concerning Section 230.


Benefits:
-Medical
-Dental
-Vision
-Term Life
-Short-Term Disability Coverage
-401K

If interested, please apply through this job post. You may fax a copy of your most recent resume to 877-858-623. If you have any questions, please feel free to call at (800) 928-5561 and ask to speak with Vanessa (Monday-Friday 8: 30 AM-5: 00 PM PST). Refer friends, Earn rewards! Https://stafftoday.Staffingreferrals.Com/join/vdemont


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