30-32HR LPN Quality of care Investigative Nurse

Location:Phoenix Arizona
Department: Division of Developmental Disabilities Quality Management Unit

We are seeking an experienced Quality of Care Investigative Nurse (LPN) to support the Division of Developmental Disabilities Quality Management Unit. This position conducts thorough member-centered investigations of quality-of-care concerns to help protect member health safety and well-being.

• Conduct timely thorough and member-centered quality-of-care investigations.
• Investigate both individual member concerns and systemic quality-of-care issues.
• Review medical records documentation and other relevant information.
• Request and maintain documentation necessary to support investigations.
• Prepare professional investigative reports correspondence and case documentation.
• Develop and issue vendor corrective action plans or remediation when appropriate.
• Utilize critical thinking and nursing judgment to assess findings and determine appropriate corrective actions.

• Critical thinking and problem-solving
• Medical chart review
• Nursing assessment monitoring and evaluation
• Research and analysis
• Microsoft Office databases email and electronic documentation systems

• Active Arizona LPN license required
• Level One Fingerprint Clearance Card