RN Quality Investigator: Care & Compliance

Iannarino Fullen Group; Phoenix (AZ); On-site; USD 70,000 - 90,000; Full time

Job summary

Iannarino Fullen Group is seeking a Registered Nurse to participate in investigations of member-centric and systemic quality-of-care concerns. The role emphasizes thorough documentation, regulatory referrals, and remediation planning within a healthcare quality program.

The ideal candidate holds an active Arizona RN license, with CPR, ACLS, and BCLS certifications, and can manage multiple cases with strong analytical and reporting skills.

Qualifications

• Active RN license in Arizona
• CPR, ACLS, and BCLS certification will be required

Responsibilities

• Conducts timely investigations of member-centric and systemic quality-of-care concerns with standardized processes.
• Makes referrals to oversight/regulatory agencies and participates in Care Concerns and related workflows.
• Maintains documentation to support case work and investigation substantiation.
• Requests documentation, compiles case records, and uploads investigative materials to the AHCCCS QMS Portal.

Skills

Quality investigations

Regulatory awareness

Documentation

Analytical thinking

Communication skills

Nursing process

Job description

Iannarino Fullen Group is seeking a Registered Nurse to participate in investigations of member-centric and systemic quality-of-care concerns. The role emphasizes thorough documentation, regulatory referrals, and remediation planning within a healthcare quality program.

The ideal candidate holds an active Arizona RN license, with CPR, ACLS, and BCLS certifications, and can manage multiple cases with strong analytical and reporting skills.