Licensed Practical Nurse

I3 INFOTEK INC; Phoenix (AZ); Hybrid; USD 34,000 - 52,000; Full time

Job summary

I3 INFOTEK INC in Phoenix, AZ is seeking an LPN Quality of Care Investigative Nurse to join the Quality Management Unit. The role centers on investigating member-related and systemic quality concerns, reviewing medical records, and producing defensible investigative reports.

The ideal candidate has an AZ LPN license, 6–12 months in quality assurance or clinical auditing, strong critical thinking, and superb documentation skills.

Qualifications

• 6–12 months of experience in quality assurance, clinical auditing, or quality-of-care reviews.
• Strong critical-thinking and clinical judgment required.
• Excellent professional report-writing and documentation.
• Experience with medical chart reviews and clinical documentation.
• Ability to identify inconsistencies and develop evidence-based conclusions.

Responsibilities

• Conduct investigations of member-related and systemic quality-of-care concerns.
• Review medical records, clinical documentation, and supporting evidence.
• Analyze complex cases and identify inconsistencies, patterns, and potential quality issues.
• Collect and evaluate information from multiple sources.
• Prepare detailed, professional, and defensible investigative reports.
• Maintain comprehensive documentation and case records.
• Identify corrective actions and develop Corrective Action Plans (CAPs).
• Upload investigative documentation into the AHCCCS Quality Management System (QMS) Portal.
• Escalate significant cases and recurring concerns to the QOC Supervisor.
• Coordinate referrals to appropriate oversight and regulatory agencies.

Skills

Critical thinking

Clinical judgment

Report writing

Medical chart reviews

Data analysis

Education

Licensed Practical Nurse (LPN) in AZ

High School Diploma or equivalent

Job description

Job Description – LPN Quality of Care Investigative Nurse

Remote – Arizona Local Candidates Only

Location: Phoenix, AZ

Work Mode: Remote (First day onsite for equipment pickup and security training)

Contract Duration: 1 month and 15 days (approximately 1.5 months).

Working Hours: Monday–Friday, 8 AM–5 PM

Job Summary:

The LPN Quality of Care Investigative Nurse will work with the Quality Management Unit.

The primary responsibility is to investigate member-related and systemic quality-of-care concerns, review medical records, analyze clinical information, identify inconsistencies, and prepare detailed investigative reports.

The ideal candidate should have strong clinical knowledge combined with experience in quality assurance, risk management, medical chart reviews, auditing, and investigative report writing.

This position is more focused on investigation, research, documentation, and quality assurance than direct bedside patient care.

Key Responsibilities:

• Conduct thorough investigations of member-related and systemic quality-of-care concerns.
• Review medical records, clinical documentation, and supporting evidence.
• Analyze complex cases and identify inconsistencies, patterns, and potential quality issues.
• Collect and evaluate information from multiple sources.
• Prepare detailed, professional, and defensible investigative reports.
• Maintain comprehensive documentation and case records.
• Identify appropriate corrective actions and develop Corrective Action Plans (CAPs).
• Upload investigative documentation into the AHCCCS Quality Management System (QMS) Portal.
• Escalate significant cases and recurring concerns to the QOC Supervisor.
• Coordinate referrals to appropriate oversight and regulatory agencies.
• Participate in Care Concerns, Care Needed Today, and other assigned member issues.

Required Qualifications:

• Active LPN license in the State of Arizona.
• High School Diploma or equivalent.
• 6 months to 1 year of experience in one or more of the following:
• Quality Assurance Nursing
• Clinical Auditing
• Quality-of-Care Reviews
• Experience analyzing complex cases and reviewing extensive medical records.
• Ability to identify inconsistencies and develop evidence-based conclusions.
• Strong critical-thinking and clinical judgment skills.
• Excellent professional report-writing and documentation skills.
• Experience with medical chart reviews and clinical documentation.

Preferred Qualifications:

• Experience preparing formal investigative reports.
• Experience in healthcare quality assurance and risk management.
• Clinical auditing and utilization review experience.
• Regulatory compliance and patient safety experience.
• Experience evaluating compliance with clinical standards.

Compliance Documents Required:

• Updated Candidate Resume
• Level 1 Fingerprint Clearance Card (Front and Back)