A company in Downtown Phoenix is looking for hard working and dedicated Auditor to join their growing team. This position is a temporary opportunity, working hours are Monday - Friday 8:00 am - 5:00 pm.
The salary is $25.00 an hour
This position investigates concerns regarding care or service delivery from an individual and systemic perspective. The expectation from the comprehensive review is measurable improvement in the quality, oversight of services and an improvement in the health, safety and quality of life of individuals served by the Division. All quality of care concerns (QOC) are reported to AHCCCS and a comprehensive written response is provided back that indicates the investigative findings, interventions taken to resolve concern and the level of risk substantiated concerns imposed on the member within established time lines. This position also conducts trending to determine success of interventions and makes recommendations for continuous improvement. Must maintain confidentiality and conduct reviews of QOCs in an objective manner.
Working hours: 8:00 AM - 5:00 PM
Position participates in annual audits, develops/revises policy and procedures and quality meetings as requested.
In addition, the position prepares and presents cases to the Peer Review Committee. This position also leads or participates in initiatives as a result of identified trends, committee recommendations, as part of Strategic plan, etc. Conducts Root Cause Analyses to determine facts/cause of negative outcomes which includes interviewing members and other parties involved in the incident.
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