QUALITY ASSURANCE INVESTIGATIVE NURSE

Arizona Department of Administration•Phoenix, AZ

1d•Onsite

About The Position

The Arizona Department of Economic Security (DES) strengthens individuals, families, and communities for a better quality of life. The Department of Economic Security, Division of Developmental Disabilities (DDD), is seeking an experienced and highly motivated individual to join their team as a Quality Assurance Investigative Nurse. DDD provides individuals with developmental disabilities, and their families, services and supports that are flexible, high quality, and member driven. These services provide individuals with opportunities to exercise their rights and responsibilities of independent decision-making and engagement in the community.

Requirements

Knowledge in Clinical Investigative Fact Finding and on-site clinical monitoring methods.
Knowledge in Nurse Practice Act.
Knowledge in Division Contractual, licensing and on-site monitoring.
Knowledge in Applicable laws, rules, policies, procedures and standards related to acute care delivery, Nursing Scope of practice and quality-Driven Healthcare Competencies.
Knowledge in Program guidelines and practices.
Knowledge in Managed Care, AHCCCS, ADHS and CMS.
Skills in Organization, planning and time management.
Skills in Written and oral communication.
Skills in Various computer software programs.
Skills in Critical decision making, personnel management.
Skills in Effective communication, interviewing, communicating with the public and staff.
Skills in Critical Interviewing techniques.
Ability to Write, Summarize and produces concise complex reports.
Ability to Use computer applications to complete reports (Excel, Power Point, IMS and FOCUS).
Ability to Prioritize and complete assigned tasks by required deadlines.
Ability to Communicate effectively and work with groups.
Ability to Travel when required.
Ability to Work in a fast paced environment.
Possession of a current license to practice as a registered nurse in the State of Arizona.
Possession of a valid Level One fingerprint clearance card issued pursuant to Arizona Revised Statute 41-1968 in order to work with children and vulnerable adults.
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.
Successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).
Possession of a valid Driver’s License if the position requires driving or the use of a vehicle as an essential function of the job to conduct State business.

Nice To Haves

One (1) year of experience working with individuals with developmental disabilities or a vulnerable population.
Experience conducting investigations is highly desirable.

Responsibilities

Conducts on-site clinical health & safety visits to vendor sites for all health & safety concerns, Immediate Jeopardy or at the direction of the Division AHCCCS Quality Management Utilization. Performs as the lead for the review/fact finding & participates in on-site visits while maintaining member confidentiality, participates in health & safety meetings, scheduled & unscheduled visits of placement settings, service sites identified to have serious deficiencies.
Works with appropriate regulatory agencies and conducts all mandatory required reporting. Provides all investigative documentation to the Division QMU Clinical Investigator to assist them in the investigative and severity determination process of the Quality of Care (QOC) Investigation. Follow up with vendors regarding Corrective Action Plan (CAP) Remediation follow up. Reports all Health and Safety and QOCs to DDD QMU.
Drive to and from licensed settings to complete clinical health and safety visits.
Provides the vendor agencies, service providers and Division staff with ongoing training, technical assistance and continued on-site monitoring to reduce the likelihood of the incident reoccurring and promoting vendor/provider regulatory compliance.

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.