Senior Clinical Long Term Care Quality of Care RN - Southern Arizona

Key Responsibilities

• Perform clinical documentation review of care delivered to adults and children with Medicaid, Medicare health care benefits
• Create case investigation summaries for Peer Review
• Review plans of correction from providers
• Interface with external customers, facilities, and providers
• Conduct oversight reviews of contractors
• Collaborate with Medical Directors and staff in other departments
• Manage multiple tasks and changing priorities
• Maintain timeliness for deliverables and regulator requests
• Work independently with good critical thinking and communication skills
• Occasional on-site provider visits for Quality of Care concerns

Benefits & Perks