Arizona Licensed Clinical Quality RN

Job Summary

To support quality care initiatives, the part-time Arizona Licensed Clinical Quality RN will conduct quality of care investigations, manage regulatory incident documentation, and collaborate with medical directors, all while working remotely during the hours of 8:00am to 5:00pm Mountain Standard Time.

Key responsibilities

• Perform clinical documentation reviews for Medicaid and Medicare patients and create case investigation summaries
• Interface with external customers and providers to resolve quality of care concerns and obtain necessary medical records
• Conduct oversight reviews of contractors and collaborate with internal teams to ensure compliance with regulatory standards

Required qualifications

• Active, unrestricted RN license in Arizona or compact license
• 5+ years of experience as a Registered Nurse, including 2+ years in a hospital setting
• Experience in evaluating and auditing medical records
• Intermediate proficiency in Microsoft Office, including Word and Excel
• Excellent writing skills for preparing detailed summaries and reports