Clinical Investigator, RN - Government Commercial
Columbia, Maryland
Category: Corporate
Full Time
Job ID: 999507
Work Setting: Corporate/Field Office
Est. Pay: $75000-$85000 / Year
Posted Date: 8/14/2025
Columbia, Maryland
Work Setting: Corporate/Field Office
Category: Corporate
Full Time
Est. Pay: $75000-$85000 / Year
Job ID: 999507
Posted Date: 8/14/2025
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- Intakes, investigates, and resolves non-privileged investigations in collaboration with legal, HR, and compliance, as necessary
- Interviews external clinical staff and gather relevant data in furtherance of the investigation and root cause analysis
- Maintains accurate, timely documentation within the investigation file
- Tracks and analyzes clinical trends across assigned business line
- Collaborates with Legal and Compliance to ensure investigations are thorough and compliant
- Contributes to corrective action planning and resolution
- Presents monthly reports and insights to Clinical Risk team
- Supports the Quality Assurance and Performance Improvement (QAPI) program with data insights and quality improvement recommendations
- Streamlines auditing processes to ensure accurate, real-time data capture
- Identifies systemic risks and recurring issues through investigation and trend analysis
- Participates in root cause analysis (RCA) and failure mode and effects analysis (FMEA)
- Develops and implements risk mitigation strategies in collaboration with the Clinical Risk Manager and Dept Compliance Officer
- Conducts research as needed to ensure compliance with all regulations and standards
- Supports alignment with The Joint Commission Accreditation Standards and federal/state regulations
- Works closely with clinical operations team and leadership to foster a culture of safety
- Serves as a clinical resource and liaison during investigations and quality initiatives
- Utilizes case management software and analytics tools to support investigations
- Recommends improvements to digital tools and workflows for greater efficiency
- Performs other related duties as assigned
- Correctional nursing experience required; additional hospital/LTC nursing experience preferred
- Valid and active Registered Nurse (RN) license within the United States
- Bachelor’s degree in nursing (BSN) required; master’s degree preferred
- Minimum of 5 years of clinical nursing experience required, with a focus on quality improvement and risk management in healthcare settings
- Strong analytical skills and experience with data collection and analysis
- Familiarity with regulatory requirements in the healthcare space
- Excellent communication and interpersonal skills; proficiency in the English language is required
- Proficient in Microsoft Office Suite and data analysis tools
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At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:Medical/Prescription, Dental, Vision, Health Advocacy (company paid if enrolled Medical), Health Advocate Employee Assistance Program, Health Savings Account , 401(k), 401(k) Company Match, Profit Sharing, Short Term Disability, Long Term Disability, Primary Caregiver Leave, Parental Leave, Life and Basic Accidental Death and Dismemberment Insurance, Voluntary Life and Accidental Death and Dismemberment Insurance, Hospital Expense Protection Plan, Critical Illness Insurance, Accident Insurance, Dependent Care Flexible Spending Account, Home and Auto Insurance, Pet Insurance, MilkStork, Transportation Benefit, Educational Assistance Program, College Partnership Program, Paid Time Off/Company Holidays*Benefit eligibility is dependent on employment status.Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.This posting will remain active on job boards for 5 days from date of posting unless there is a good faith basis to extend the posting date.Please note that this pay range represents a good faith estimate of the compensation that will be offered for this position based on the circumstances. The actual pay offered to a successful candidate will take into account a wide range of factors, including but not limited to location, experience, and other variable factors.“Pursuant to the San Francisco Fair Chance Initiative, Amergis will consider for employment qualified applicants with arrest and conviction records”
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