Quality Assurance Investigative Nurse

Arizona Department of Administration • Phoenix, AZ

2d • Onsite

About The Position

The Department of Economic Security (DES), Division of Developmental Disabilities (DDD), is seeking an experienced and highly motivated individual to join our team as a Quality Assurance Investigative Nurse. This role is responsible for developing and maintaining a review/audit system for measuring operational and regulatory compliance for direct services, clinical nursing services, and administrative support services at all State Operated Service locations. DDD provides individuals with developmental disabilities and their families with flexible, high-quality, and member-driven services and supports that offer opportunities to exercise their rights and responsibilities of independent decision-making and community engagement. 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 with principal interest in a DDD Qualified Vendor Agreement, and cannot be employed or subcontracted by a DDD Qualified Vendor.

Requirements

• Principles of nursing care
• The Nurse Practice Act in the State of Arizona
• Federal Title XIX ICF/IID regulations and interpretive guidance
• Medicare and Medicaid
• Medical chart review.
• Assessing, reviewing, and/or analyzing situations and/or data, i.e., critical thinking
• Oral and written communication, Producing professional technical reports
• Developing and maintaining interpersonal relationships
• Using computer systems (e.g., Microsoft Access, Excel, Outlook, PowerPoint, etc.)
• Conduct and coordinate trainings
• Recognize indicators of abuse and neglect
• Ensure confidentiality of member information consistent with federal and state laws, rules and regulations
• Learn Department of Health Services' (DHS) surveying, certification and life safety processes
• Possession of a current license to practice as a registered nurse in the State of Arizona.
• Valid Level One fingerprint clearance card issued pursuant to Arizona Revised Statute 41-1968.
• 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).

Nice To Haves

• Experience working with individuals with developmental disabilities and/or experience with case management, quality management, or quality improvement.

Responsibilities

• Conducts follow-up review/audit of all recommended actions from incident reports, fact findings, and internal investigations.
• Conduct follow-up related to plans of correction.
• Prepares reports.
• Record-keeping to assure compliance with all State Operated policies and state and federal laws, rules and regulations.
• Develop and maintain metrics related to regulatory compliance.
• May conduct fact findings and audits.
• Provides in-services to staff.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level