RN - Quality of Care Investigative Nurse - DS26-07340

Job Description

Job Description

RN – Quality of Care Investigative Nurse

Location: Phoenix, AZ

Type: Contract (4–5 Months)

Pay: $30.00 – $32.00 per Hour

Shift & Schedule: Day Shift | Local Candidates Only

Position Overview

We are seeking a Registered Nurse (RN) – Quality of Care Investigative Nurse to support healthcare quality management and investigative activities. This role focuses on conducting quality-of-care investigations, reviewing clinical documentation, identifying care concerns, developing corrective action plans, and ensuring compliance with healthcare quality standards and regulatory requirements.

Responsibilities

• Conduct timely and comprehensive quality-of-care investigations.

• Review medical records and analyze clinical documentation.

• Perform member-centric and systemic assessments related to care quality concerns.

• Develop and monitor corrective action plans when deficiencies are identified.

• Maintain detailed and accurate investigative documentation.

• Prepare professional reports, findings, and recommendations.

• Upload and manage investigation-related documentation within electronic systems.

• Refer cases to appropriate oversight agencies when necessary.

• Identify trends, patterns, and systemic quality concerns.

• Participate in care concern reviews and urgent issue resolution.

• Utilize nursing assessment and evaluation skills throughout investigations.

• Ensure compliance with healthcare regulations, policies, and quality standards.

• Collaborate with healthcare providers, vendors, and regulatory stakeholders.

Required Qualifications

• Active Arizona Registered Nurse (RN) License.

• Minimum 6 months to 1 year of experience in Quality Assurance, Risk Management, Nursing Audits, or Healthcare Compliance.

• Experience reviewing medical records and clinical documentation.

• Strong knowledge of nursing process and patient care evaluation.

• Excellent critical thinking and analytical skills.

• Strong written and verbal communication abilities.

• Proficiency with Microsoft Office and electronic documentation systems.

• Ability to work independently and manage multiple investigations.

Preferred Qualifications

• Experience in Quality Management or Regulatory Compliance.

• Experience conducting investigations or audits within healthcare settings.

• Background in Developmental Disabilities, Behavioral Health, Case Management, or Managed Care.

• Experience developing corrective action plans and quality improvement initiatives.

Contact Information

For more details contact at [email protected] or Call / Text at 516-862-1169.

About Navitas Healthcare, LLC: It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.