Quality-of-Care Investigative Nurse (Remote)

VIVA USA Inc; Phoenix (AZ); Hybrid; USD 70,000 - 90,000; Full time

Job summary

VIVA USA Inc in Phoenix, AZ seeks a Quality of care Investigative Nurse to conduct complex quality-of-care investigations and write defensible, evidence-based reports. You will review records from multiple sources, identify patterns, and drive corrective actions to improve member safety and care quality.

The role requires an active AZ RN or LPN license, strong clinical judgment, and experience in risk management or quality assurance.

Qualifications

• Active license to practice as an LPN or RN in AZ.
• Experience in risk management, quality assurance, or auditing is preferred.
• Bachelor-level or higher degree with healthcare quality emphasis preferred.

Responsibilities

• Conduct complex quality-of-care investigations and writes detailed, defensible reports.
• Maintain comprehensive case records and documentation across sources.
• Develop corrective action plans and coordinate with vendors/regulators as needed.
• Elevate cases to QOC supervisor and drive remediation.

Skills

Critical Thinking

Clinical Judgment

Professional report writing

Oral & written communication

Organization & time management

Nursing Process

Decision making

Data analysis

Education

Active AZ RN or LPN license

BSN preferred

MS/Doctorate preferred

Tools

Microsoft Office

Databases

Email systems

QMS Portal

Job description

VIVA USA Inc in Phoenix, AZ seeks a Quality of care Investigative Nurse to conduct complex quality-of-care investigations and write defensible, evidence-based reports. You will review records from multiple sources, identify patterns, and drive corrective actions to improve member safety and care quality.

The role requires an active AZ RN or LPN license, strong clinical judgment, and experience in risk management or quality assurance.