Job Title: Quality of Care Investigative Nurse
Profession: 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 Arizona
Certifications: None specified
Must-Have: Critical thinking skills, technological skills, strong oral and written communication skills
Description:
This position reports to the Quality Management Unit and conducts quality-of-care investigations.
The role involves participating in investigations of member-centric and systemic quality-of-care concerns.
Timeliness and thoroughness are vital for member health and well-being.
Investigates all division member quality-of-care issues and implements corrective action plans.
Utilizes a standardized process for investigations.
Makes appropriate referrals to oversight and regulatory agencies.
Participates in various member issue-related tasks as assigned.
Maintains necessary documentation to support case work.
Requests appropriate documentation for quality-of-care investigations.
Ensures the maintenance of comprehensive case records to support allegation review.
As a result of the investigation, issues remediation or corrective plans to the vendor.
Ensures all relevant information and documents are uploaded within the designated portal.
Appropriately elevates cases and trend concerns to the supervisor.
Skills in research and analysis are essential.
Decision-making skills and the ability to analyze problems effectively are required.
Proficiency in medical chart reviews and utilizing the nursing process is crucial.
Demonstrated organization and time management skills are necessary for success in this role.
Numbers & Facts
Location
Phoenix, AZ
Industry
Healthcare Services
Salary
$900
Company Size
1,000 to 1,499 employees
Website
https://cynethealth.com/
About Company
Cynet Health is a TJC certified MBE and one of the fastest-growing healthcare staffing firms in the US providing Health Med and Health IT staffing and consulting services to countless hospitals, SNFs, clinics, labs, CROs, health & wellness centers, pharmacies, and other medical facilities across the United States. Headquartered in Sterling, Virginia, we are a certified Minority-Owned Business Enterprise and a recognized Diversity Supplier.
Skills
Communication Skillsunmatched
Corrective Actionunmatched
Nursingunmatched
Patient Chartsunmatched
Presentation/Verbal Skillsunmatched
Problem Solving Skillsunmatched
Quality Managementunmatched
Quality of Careunmatched
Registered Nurse (RN)unmatched
Regulationsunmatched
Support Documentationunmatched
Surgical Nursingunmatched
Time Managementunmatched
Vendor/Supplier Planningunmatched
Writing Skillsunmatched
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