QUALITY ASSURANCE INVESTIGATIVE NURSE

Arizona Department of AdministrationPhoenix, AZ
$66,000 - $78,000Onsite

About The Position

The Department of Economic Security (DES) is seeking an experienced and highly motivated individual to join our team as a QA Investigative Nurse - District Nurse. The Division of Developmental Disabilities (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. Applicants for this position cannot be licensed or certified by the DDD Office of Licensing, Certification and Regulation (OLCR), 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

  • 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 in order to work with children and vulnerable adults.
  • 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).
  • If this position requires 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.
  • 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, and communicating with the public and staff.
  • Skills In Critical Interviewing Techniques.
  • Ability to Write, summarize, and produce concise, complex reports.
  • Ability to Uses computer applications to complete reports (Excel, PowerPoint, IMS and FOCUS.
  • Ability to Prioritize and complete assigned tasks by the required deadlines.
  • Ability to Communicate effectively and work with groups.
  • Ability to Travel when required.
  • Ability to Work in a fast-paced environment.

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 the 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 promote 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
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