52 Best rn utilization review Jobs in Albany, New York (June 2026)

Registered Nurse

7 days ago

Albany

Job Description Registered Nurse - Nursing Home Surveyor/Complaint Investigator - Albany, NY (#25316A) • Location: Albany, NY (Travel position with onsite visits), • Employment Type: Full-time, Temporary-to-permanent, • Hourly Rate: $50/hr About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: Greenlife Healthcare Staffing is seeking an experienced Registered Nurse to conduct nursing home surveys and complaint investigations, ensuring compliance with federal and state regulations. This role involves travel to facilities, investigative work, and documentation to protect resident health and safety in long-term care settings. This temporary-to-permanent position is ideal for a detail-oriented RN with a strong background in medical review, surveillance, or clinical administration. Why Join Us? • Competitive Compensation: Earn a competitive rate of $50 per hour, • Comprehensive Benefits:, • 5 sick days (40 hours), subject to the provisions of the NYS Paid Sick Leave Act, • Health insurance, subject to plan eligibility requirements, • Work Schedule: The state will determine the work schedule, with weekend, holiday, and evening shifts assigned on a rotating basis. Employees must be available to work weekends, holidays, and evening shifts as needed. Candidates must be flexible with scheduling., • Professional Growth: Gain valuable experience in regulatory compliance, investigative techniques, and quality assurance within long-term care settings., • Impactful Work: Contribute to a mission-driven organization dedicated to protecting resident health and safety in nursing homes through thorough surveys, complaint investigations, and enforcement of federal and state regulations. Qualifications: • Education: A Bachelor's degree in nursing., • Licensure: NYS Licensed Registered Nurse (RN) is required., • Certification: Ability to obtain Surveyor Minimum Qualifications Test (SMQT) certification within 12 months of employment is required., • Experience:, • A minimum of two (2) years of experience in performing utilization review, claims adjudication, medical review, fraud investigation, surveillance or monitoring activities, OR, • Three (3) years of clinical or administrative experience, OR, • Two (2) years of clinical or administrative experience., • Soft & Technical Skills:, • Strong interpersonal skills with the ability to facilitate positive customer satisfaction in situations that are adverse or in controversy., • Ability to successfully work independently with minimal supervision, as well as in a team environment., • Excellent communication (written and verbal) skills with the ability to relate effectively to providers, physicians, senior medical and administrative personnel, and residents/patients., • Superior investigative and analytical skills with a proficiency in conducting interviews with facility staff, residents, and families., • Strong computer skills with the ability to learn new programs., • Ability to obtain Surveyor Minimum Qualifications Test (SMQT) certification within 12 months of employment, required., • Ability to travel to the onsite location., • Employees must be available to work weekends, holidays, and evening shifts, as needed., • Candidates must be flexible with scheduling, as the state will determine the work schedule., • Weekend, holiday, and evening shift schedules will be assigned on a rotating basis., • This is a travel position., • Candidates will receive a premium pay rate for working on holidays and overtime. Key Responsibilities: • Participate in surveys or complaint investigations, including allegations of abuse and neglect, and perform surveillance activities/tasks 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 DOH work schedules, policies, and procedures., • Travel to onsite locations according to the work schedule. Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives

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