Pay: $40.82 per hour
Hours: Monday-Friday 8 am-5 pm PST
Location: Remote in Arizona

Position Purpose: Implements, oversees, and maintains new and existing healthcare quality monitoring activities and programs; ensures quality monitoring audits and investigations are performed in accordance with prescribed quality standards.

Responsibilities

• Performs quality monitoring activities, including audits of medical record quality, services and service sites, health and safety, and follow-up of monitoring of placement settings.
• Implements key quality strategies that require a component of near real-time clinical decision-making. These activities may include initiation and management of interventions (e.g., improving patient safety); preparation and review of potential quality of care and critical incident cases; review of medical record documentation for credentialing and model of care oversight; and any other federal and state required quality activities.
• Supports the creation and ongoing revision of policies and procedures reflective of state requirements for all quality management functions, including quality monitoring audits, credentialing and recredentialing, quality of care concerns, and peer review.
• Monitors and ensures that key quality activities that involve clinical decision-making are completed on time and accurately in order to present results to key departmental management and other departments as needed.
• Monitors and ensures that key quality activities are completed on time and accurately in order to present results to key departmental management and other departments as needed.
• Adheres to written documentation and business practices (e.g., policies and procedures, desk-level procedures, manuals, and process flows) that explain the business requirements and how the unit operationalizes those requirements.
• Adheres to structure and processes for tracking and trending reportable incidents, quality of care events, member service concerns, and mortalities.
• Evaluate project/program activities and results to identify opportunities for improvement.

Requirements:

• Bachelor's Degree required
• 3 years experience in healthcare with minimum 1 year experience in quality management and clinical quality investigations, or equivalent experience.
• Active Arizona RN License

#INDAS

Job Type: Full-time

Pay: $40.82 per hour

Expected hours: 40 per week

Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• No weekends

Experience:

• quality management: 3 years (Required)
• clinical quality investigations: 3 years (Required)

License/Certification:

• Arizona RN License (Required)

Work Location: Remote