Nursing Investigator Senior
Justia, Inc.
This role is assigned as a Senior Investigator to the Compliance department, who oversees nurses in non-public and public disciplines due to substance use, mental health disorders and practice concerns. Reviews participant’s reporting and results across multiple computer applications to ensure compliance and accountability for all the terms and conditions of legal agreements or Board orders. Communicates non-compliance to participants and/or attorneys, assists as able to restore compliance or prepares cases for administrative review/action. Investigates any new conduct or complaints regarding alleged violations of the Nurse Practice Act. Investigates complex or sensitive allegations of legal or regulatory violations. The State of Arizona offers a comprehensive benefits package to include: Optional employee benefits include short-term disability insurance, deferred compensation plans, and supplemental life insurance Life insurance and long-term disability insurance Vacation with 10 paid holidays per year Health and dental insurance Retirement plan Sick leave Learn more about the Paid Parental Leave program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page Retirement Positions in this classification participate in the Arizona State Retirement System (ASRS) Please note, enrollment eligibility will become effective after 27 weeks of employment Knowledge: Methods and techniques/principles for applying state and federal statutes, administrative codes, and agency policies related to nursing practice and nursing license regulation Requires knowledge in the area of nursing practice, terminology, and meaning of the Nurse Practice Act Methods, techniques and principles for writing investigative reports Skills: Identify regulatory violations, and prepare detailed investigative reports with findings and recommendations in accordance with state laws and administrative rules Interviewing and eliciting information in an investigation; time management, public speaking, and professional writing Skills in extracting and using information from statutes, legal documents, evaluation forms, and related records Ability: Presenting cases in a Board meeting and testify in administrative law hearings as the expert witness Prioritize, plan, analyze, coordinate and manage a caseload Produce timely and accurate reports and documentation Ability to work well with others Maintain objectivity Selective Preference(s) Experience with investigations, substance abuse, social work, and or legal testifying preferred #J-18808-Ljbffr Justia, Inc.
- UnitedHealthcare is seeking a Senior Clinical Quality of Care RN to conduct quality of care investigations, review regulatory IAD portals, and prepare reports for internal... ...records, present case summaries, and support regulatory requests #J-18808-Ljbffr Registered NurseSeniorRemote job
- UnitedHealthcare is seeking a Senior Clinical Quality of Care RN to conduct QOC investigations and manage IAD regulatory needs for Arizona Medicaid/Medicare members. This role is Arizona-based with remote work up to 60% and up to 25% travel. Collaborate with Medical Directors...SeniorRemote jobWork at office
$46.99k - $112.2k
...something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary The Senior Investigator, Aetna Special Investigations Unit, will conduct high level, complex investigations of known or suspected acts of healthcare...SeniorHourly payFull timeTemporary workWork at officeLocal area- ...products and expertise that help nearly 16 million people save for a better today and tomorrow.Section 1: Position SummaryThe Senior Fraud Investigator is a senior individual contributor responsible for leading complex or high-impact investigations, identifying emerging...SeniorFull timeSecond jobRemote work
$72.7k
...Plans and Reports. The incumbent is responsible for conducting investigations of organizational or functional activities related to alleged... ...'s Degree in Accounting, Finance, Business Administration, Nursing, IT or related field Substitutions 6 years of related and progressive...SeniorContract workFor contractorsWork at officeLocal area$48.47k - $53.85k
...than 3 million Arizonans. Our Mission is to strengthen individuals, families, and communities for a better quality of life. SENIOR INVESTIGATOR (Temporary Positions) Job Location: Office of Inspector General (OIG) 1789 West Jefferson Street, Phoenix, Arizona 85007 Posting...SeniorFull timeTemporary workPart timeFor contractorsWork at officeLocal areaRemote workFlexible hours- The Arizona Supreme Court is seeking an experienced investigator to manage the investigation of complaints against certified professionals and unlicensed individuals or entities. You will oversee cases from initial inquiry through final disposition, prepare charging documents...SeniorRemote job
- Centene Corporation seeks a seasoned Compliance Investigations leader to guide an enterprise-wide program for investigations across business units, health plans, and corporate functions. You will oversee investigations, prepare reports, and collaborate with Legal, People...SeniorRemote job
- AML RightSource is seeking a Senior Financial Crimes Investigator for a remote-based role in the United States (Arizona home address applicable). The position emphasizes independent investigation, SAR preparation, and KYC compliance within a fast-paced, global team. You...SeniorRemote job
- ...Claims Specialist to handle high-complexity claims, requiring analysis of policies and customer communication. This role involves investigating claims, negotiating resolutions, and providing recommendations on processes. The ideal candidate will demonstrate strong...Senior
- Chubb seeks a Sr. Auto Examiner (Commercial) to manage complex Auto Claims, including property damage and related coverages. The role demands excellent time management, precise analysis, and clear communication with insureds and claimants. The position requires 2-4 years...SeniorRemote work
- AHCCCS seeks an Auditor 3 in Phoenix to conduct audits of Fee For Service and Managed Care providers, review claims, medical records, and financial docs, and produce analytical reports. The role involves data analysis, interviews, and ensuring compliance with Medicaid/Medicare...SeniorWork at office
- UnitedHealth Group is seeking an experienced Senior Clinical Quality of Care RN in Arizona. The role conducts QOC investigations, reviews regulatory IAD portals, and prepares reports for internal and external customers, ensuring compliance with State and Federal requirements...Remote jobWork at office
- 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...
- Farmers in the United States seeks an experienced Senior Claims Representative to investigate, determine liability, confirm coverage, establish damages and negotiate settlements. A valid adjuster license where required is expected. This virtual or hybrid role can be based...SeniorWork at office
- ...Preferred Podiatry Group is hiring a Nurse Practitioner (NP) to provide podiatric care in long-term care, nursing homes, skilled nursing, and senior living facilities. You will assess and treat foot and lower limb conditions, deliver diabetic foot care, and collaborate...SeniorPart timeFlexible hours
- ...Tarantino Properties is hiring a Health and Wellness Director for the Agua Fria Senior Living community. The role requires LPN/LVN or RN licensure and prior supervisory nursing experience in a senior living setting. The position involves overseeing care delivery, regulatory...Senior
- A healthcare organization is seeking a Licensed Practical Nurse (LPN) in Sun City, Arizona, who combines strong clinical skills with a passion for senior care. In this role, you will provide direct clinical care, manage medications, and collaborate with RNs and physicians...Senior
- Carle Health is seeking a skilled Surgical Technologist to assist surgeons during operative and invasive procedures. The role emphasizes scrubbing, sterile field setup, and timely preparation for surgeon-specific cases. The ideal candidate will possess a Surgical Technology...Senior
- A leading clinical research organization based in Phoenix, AZ is seeking a Clinical Research Coordinator III to ensure high-quality research is conducted according to regulatory guidelines. The ideal candidate will have at least 5 years of clinical research experience, ...Senior
- Paycom recruits an Experienced Research Nurse to mentor, train, and lead a growing private practice research department in Arizona/Peoria. You will oversee complex therapeutic trials, ensure protocol and regulatory compliance, and collaborate with PIs, Sub-Is, and study...SeniorPrivate practice
- ...across pediatric and congenital cases. The role emphasizes precision, patient safety, and collaboration with cardiology, imaging, and nursing teams. The position is full-time with varied days, typically Mon-Fri, 8:30am-4pm, and requires strong clinical judgment and...SeniorFull time
- ...You will scrub, hand instruments, and provide sterile supplies throughout complex cases with strong collaboration among surgeons, nurses, and anesthesia staff. Minimum qualifications include a high school diploma or GED with current BLS, and either certification as a...Senior
- Banner Health is seeking a Surgical Technologist at Banner University Medical Center Phoenix to support the Surgery department. The role covers pediatric, robotic, transplant, and urology cases and requires scrubbing proficiently in at least two specialties while ensuring...Senior
- Mayo Clinic, a premier healthcare provider, seeks an RN to coordinate nursing care, deliver patient care, and educate patients and families. You will work within the Mayo Clinic Nursing Practice Model to support safe, high-quality care across shifts. Responsibilities include...SeniorShift workDay shift
- Blue Shield of California is seeking a Senior Care Management Nurse to assess member needs and design care plans. You will coordinate with medical groups and other departments to ensure quality and cost-effective outcomes. This role requires strong clinical judgment and...Senior
- Abbott, a global healthcare leader, seeks a Sr. Clinical Laboratory QA Specialist to develop and maintain a quality management system in a regulated environment. You will lead routine audits, support HIPAA compliance, and drive continuous improvement within the Cancer Diagnostic...Senior
- SHPCA SCAN Health Plan is looking for a Licensed Vocational Nurse (LVN) to provide direct care for members in assisted living and community settings. This role involves conducting clinical assessments, administering care, and collaborating with community leadership to enhance...Senior
$114.5k - $119.5k
Soar Autism Center is seeking an experienced Clinical Director (BCBA), or Partner Clinician, to serve as a senior clinical leader for one to three centers, specializing in the Early Start Denver Model (ESDM). Base pay ranges $114,500.00-$119,500.00 per year, with bonuses...Senior- Blue Shield of CA is seeking a Senior Care Management Nurse to perform case management and develop care plans based on thorough assessments, coordinating with clinical nurses and treating physicians. The role requires a California RN license, BSN or higher preferred, CCM...SeniorWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Nursing Investigator Senior. Be the first to apply!
- employee relations investigator Phoenix, AZ
- case investigator Phoenix, AZ
- federal investigator Phoenix, AZ
- investigator Phoenix, AZ
- defense investigator Phoenix, AZ
- siu investigator Phoenix, AZ
- insurance investigator Phoenix, AZ
- corporate security investigator Phoenix, AZ
- surveillance investigator Phoenix, AZ
- special investigator Phoenix, AZ

