Position Summary/About the role

Schedule:
The first day would need to be in person to obtain equipment and complete necessary security training to be able to access systems. Afterwards, the remaining onboarding and training will be remote.
8am-5pm Monday - Friday 40 hours per week.

Quality of care Investigative Nurse – Job Description
This position reports to the Division of Developmental Disabilities – Quality Management Unit and conducts quality-of-care investigations pursuant to the contract between the Division and the Arizona Health Care Cost Containment System (AHCCCS). This position participates in investigations of member-centric and systemic quality-of-care concerns to ensure member health and well-being.
Conducts timely, thorough, member centric, and systemic investigations of all division member quality-of-care issues and implements vendor-specific corrective action plans, utilizing a standardized process. Makes appropriate referrals to oversight and
regulatory agencies. Participates in Care Concerns, Care Needed today, and member issues as assigned. Maintains all necessary documentation to support case work. Request appropriate documentation for quality-of-care investigations and ensure the maintenance of comprehensive case records to support allegation review and substantiation levels. As a result of the QOC Investigation, issue remediation or a Corrective Action Plan to the vendor, and ensure all applicable investigative information and documents are uploaded within the AHCCCS QMS Portal. Appropriately elevates cases and/or trend concerns to the QOC supervisor.
Skills:
Critical thinking
Technological skills, including the use of databases, Microsoft Office products, email, and electronic referral and verification sources.
Producing professional technical reports and letters.
Research and analysis.
Oral and written communication skills.
Personal planning, organization, and time management.
Medical chart review.
Nursing Process, including assessment, monitoring, and evaluation.
Decision-making skills.
Critically analyze problems and develop effective plans for corrective action.

Required Education:
Registered Nurse (RN) in the ***.

About CVC

Compu-Vision Consulting, Inc. is a leading provider of consulting and workforce solutions across IT, healthcare, engineering, life sciences, and professional services. Since 1998, we have supported organizations nationwide with scalable, cost-effective services that drive innovation and operational excellence. Backed by an experienced professionals and strong industry expertise, Compu-Vision is a trusted partner helping mission-driven organizations navigating complex and evolving needs. Join us and be part of a team dedicated to quality, accountability, and measurable impact across industries.

Equal Opportunity Employer Note

Compu-Vision Consulting, Inc. is an Equal Opportunity/Affirmative Action Employer and does not discriminate based on age, color, disability, ethnicity, marital or family status, national origin, race, religion, sex, sexual orientation, veteran status, or any other characteristic protected by law.