Icon hamburger
What job do you want?
Apply to this job.
Think you're the perfect candidate?
Apply on company site

You’re being taken to an external site to apply.

Enter your email below to receive job recommendations for similar positions.

Nursing Facility Resolution Reviewer (RN req'd)- Part Time

IPRO Albany Full-Time
Apply on company site

Nursing Facility Resolution Reviewer (RN req'd)- Part Time

Based in Albany, working at the direction of the NYS Department of Health (DOH) this individual is primarily responsible for the day-to-day case management of nursing facility Quality of Care Complaints. S/he will interface with the resident &/or resident’s representative throughout the complaint resolution process including assisting with alternative dispute resolution; communication with the nursing facility; case processing including preparation of correspondence & assistance with mediation; medical record review & related activities to assure compliance with timelines & confidentiality regulations. This individual may also participate in other resident protection activities as directed. 


  • Strong interpersonal skills are desirable to facilitate positive customer satisfaction in situations that are adverse or in controversy.
  • Excellent communication (verbal & written) skills.
  • Ability to work independently with minimal supervision.
  • Ability to relate effectively to providers, physicians, senior medical & administrative personnel & residents/patients.
  • Strong computer skills with the ability to learn new programs.
  • The ability to obtain Surveyor Minimum Qualifications Test (SMQT) certification within 12 months of employment, required.
  • Able to travel to on-site facility review assignments. 


  • NYS Licensed RN, required.
  • Graduate of an approved, registered professional nursing program, required. A Bachelor’s degree in Nursing, preferred.
  • Two (2) years’ experience performing utilization review, claims adjudication, medical review, fraud investigation, surveillance or monitoring activities; OR
  • Three years of clinical or administrative experience, required
  • SMQT Certification, preferred.

IPRO offers competitive salaries, comprehensive health and dental coverage. 


IPRO is an Affirmative Action/Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status

See above. 

Recommended skills

Dispute Resolution
Self Motivation
Utilization Management
Apply to this job.
Think you're the perfect candidate?
Apply on company site

Help us improve CareerBuilder by providing feedback about this job: Report this job

Report this Job

Once a job has been reported, we will investigate it further. If you require a response, submit your question or concern to our Trust and Site Security Team

Job ID: 19059


For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.

By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.