Quality Assurance Investigative RN

City
Phoenix
State
AZ
Position Id
1853

As a Quality Assurance Investigative RN, you will be responsible for the evaluation and resolution of quality care concerns by following a systematic process with the goal to eliminate or reduce incidents.

Responsibilities

  • Gather and analyze documentation from various entities that can include health plans, behavioral health, providers, protective agencies and other involved parties.
  • Review medical evaluations, member files, protective agency reports and provider records.
  • Analyze incidents that indicate abuse, neglect, training and/or systemic issues within the Division or associated providers.
  • Conduct trending to determine the success of interventions; make recommendations for continuous improvement.
  • Prepare and present cases to the Peer Review Committee.
  • Conduct Root Cause Analyses to determine facts/cause of negative outcomes.
  • Participate in annual audits and develops/revises policy and procedures.

Requirements

  • Day shift positions are available.
  • Must have an active AZ RN license.
  • Must be able to pass a 7 year background check.

Please call Tim O’Connor at 602-788-5890 or email at Tim@apnusa.com to learn more and apply.

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