Travel Nurse RN - Medical-Surgical - $900 per week in Phoenix, AZ

Job Title: Quality of Care Investigative Nurse Profession: Registered Nurse (RN) Specialty: Staff Augmentation Duration: 22 weeks Shift: Day Hours per Shift: 8:00 AM - 5:00 PM Experience: Minimum years of experience required License: Active license to practice as a Registered Nurse (RN) in the state of Arizona Certifications: None specified Must-Have: Critical thinking skills Description: This position reports to the Quality Management Unit. Conducts quality-of-care investigations pursuant to established contracts. Participates in investigations of member-centric and systemic quality-of-care concerns to ensure member health and well-being. Conducts timely, thorough, member-centric, and systemic investigations of all quality-of-care issues. Implements vendor-specific corrective action plans utilizing a standardized process. Makes appropriate referrals to oversight and regulatory agencies. Participates in discussions regarding care concerns and member issues as assigned. Maintains all necessary documentation to support casework. Requests appropriate documentation for quality-of-care investigations. Ensures the maintenance of comprehensive case records to support allegation review and substantiation. As a result of the investigation, issues remediation or a Corrective Action Plan to the vendor. Ensures all applicable investigative information and documents are uploaded within the designated portal. Appropriately elevates cases and/or trend concerns to the supervisor. Skills required include technological skills, critical thinking, research and analysis, and effective oral and written communication. Personal planning, organization, and time management skills are essential. Experience with medical chart review and the nursing process, including assessment, monitoring, and evaluation, is vital. Strong decision-making skills and the ability to critically analyze problems and develop effective corrective action plans are necessary.