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Clinical RN QOC Investigative Fact Finder

APN Staffing

Estimated Salary: $68,500

District Clinical RN QOC Investigative Fact Finder
Tucson, Arizona

As a District Clinical Registered Nurse QOC Investigative Fact Finder is primarily responsible for conducting investigations within established timelines involve division members while demonstrating the ability to remain objective and maintain confidentiality.

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 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.
  • Must have an active AZ RN license.
  • Must be able to pass a 7 year background check.

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

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We are an equal opportunity employer and welcome applications from all suitably qualified persons regardless of their race, sex, disability, religion/belief, sexual orientation or age.

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