COMPLEX CARE NURSE

Arizona Department of Administration•Phoenix, AZ

1d•Onsite

About The Position

The Department of Economic Security (DES) is seeking an experienced and highly motivated individual to join our team as a Complex Care Nurse. This position is responsible for understanding the physical health care needs and coordinating care for members with intellectual/developmental disabilities (I/DD) who also may be pregnant or have behavioral, CRS conditions, and other complex or special health care needs. This position performs care management for Tribal Health Members with developmental disabilities. This position performs care management for members who are pregnant or who have chronic diseases and developmental disabilities. Applicants for this position cannot be licensed or certified by the DDD Office of Licensing, Certification and Regulation, cannot have a principal interest in or have a spouse or close family member with a principal interest in a DDD Qualified Vendor Agreement, and cannot be employed or subcontracted by a DDD Qualified Vendor.

Requirements

Knowledge in: Managed Care, Medicaid & Medicare concepts.
Knowledge in: Care management concepts, principles, and strategies.
Knowledge in: Nursing theories and practices related to individuals with developmental disabilities and behavioral health conditions.
Knowledge in: Person-centered planning strategies.
Skills in: Using computer software (e.g., Microsoft Word, Excel, databases, etc.).
Skills in: Excellent oral and written communication.
Skills in: Comprehensive nursing assessment & needs analysis.
Skills in: Analytical and clinical skills.
Skills in: Developing, analyzing and implementing health treatment plans.
Ability to: Work independently.
Ability to: To think critically and problem-solve.
Ability to: Observe and assess the health status and needs of individuals with developmental disabilities and behavioral health conditions.
Ability to: Interpret and apply DDD Policies and Procedures.
Required at time of appointment: possession of a current license to practice as a registered nurse in the State of Arizona.
In-state travel is required, driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver’s License Requirements.
Any employee operating a motor vehicle on State business must possess and retain a current, valid class-appropriate driver's license, complete all required training, and successfully pass all necessary driver's license record checks.
The license must be current, unexpired, and neither revoked nor suspended.
Employees who drive on state business are subject to Driver's license record checks, must maintain acceptable driving records, and must complete all required driver training.
An employee who operated a personally owned vehicle on state business shall maintain the statutorily required liability insurance (see Arizona Administrative Code (A.A.C.) (R2-10-201.11).
Candidates for this position shall be subject to a search of both the Department of Child Safety Central Registry pursuant to A.R.S. 8-804 and the Adult Protective Services Registry pursuant to A.R.S. 46-459.
Successfully pass background and reference check; employment is contingent upon completion of the above-mentioned process and the Agency’s ability to reasonably accommodate any restrictions.
All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).
Employee shall have a valid Level One fingerprint clearance card issued pursuant to Arizona Revised Statute 41-1968 in order to work with children and vulnerable adults.

Nice To Haves

Bachelor's of Science in Nursing (BSN) from an accredited college or university.
Two years of experience working as a registered nurse in behavioral health, home care, hospice or long-term care is highly desirable and/or Accredited Case Manager (ACM) or Certified Case Manager (CCM) certification is preferred.
Knowledge of the current Medicaid and Behavioral Health service delivery system a plus.

Responsibilities

Coordinates and monitors physical health and behavioral health services for members with complex care needs. Responsibilities include but not limited to, vendor calls for long-term care services, CRS referrals, specialized transportation, specialty care, arranging for medical equipment, and coordinating skilled nursing or home health services. Emergency department and hospital discharge planning for members with I/DD.
Conducts visits with members/families by phone/in-person to develop relationships and become familiar with family dynamics/needs/supports and make appropriate referrals to community agencies. Participates in multidisciplinary planning meetings to determine and identify appropriate services for members per policies and guidelines established by DDD’s contract with AHCCCS.
Conducts comprehensive assessments of members' physical, behavioral, & long-term care needs and develops comprehensive care plans for prevention and outcome improvement, to decrease risk status, & increase self-care. Evaluates Social Determinants of Health such as social & economic factors, natural & built environments & policies & programs. Ensures culturally competent plans, especially for Tribal Health Plan members.
Works with pregnant members and those with chronic disease to identify actual and potential problems and prioritize/synthesize care needs and develop treatment plans. Plans of care include education, information, direction and support related to the care and goals of members and families (Person-Centered Care).
Referral to resources, including but not limited to collaborating with w/referral partners to coordinate DMEs that are in need of nursing services from QV’s & other community resources. Inform members/families of available community resources. Facilitates meetings & program visits to enable members/families to choose appropriate providers. Completes authorizations for selected providers.
Conducts phone and on-site visits with schools and service providers to ensure plans are appropriately implemented. Provides oversight relating to services the member receives and reports quality of care concerns promptly per DDD’s policies and procedures.
Writes comprehensive progress notes and maintains case records electronically. Prepares a variety of reports and completes special projects. Provides assistance and support to members/families in crisis. Attends meetings with members/families, service providers and others as required. Identifies and resolves problems.

Benefits

Affordable medical, dental, life, and short-term disability insurance plans
Participation in the Arizona State Retirement System (ASRS) and long-term disability plans
10 paid holidays per year
Paid vacation and sick time
Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child.
Deferred compensation plan
Wellness plans
Tuition Reimbursement
Stipend Opportunities
Infant at Work Program
Rideshare and Public Transit Subsidy
Career Advancement & Employee Development Opportunities