RN - Risk Management

Quality Of Care Investigative Nurse This position conducts quality-of-care investigations pursuant to contractual agreements. It involves investigating member-centric and systemic quality-of-care concerns to ensure health and well-being. The role requires conducting timely and thorough investigations of all quality-of-care issues. It also includes the implementation of vendor-specific corrective action plans using a standardized process. Referrals to oversight and regulatory agencies may be nec…