QUALITY ASSURANCE INVESTIGATIVE NURSE

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

About The Position

The Department of Economic Security, Division of Developmental Disabilities (DDD), is seeking an experienced and highly motivated individual to join our team as a QA Investigative Nurse - District 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. 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

  • 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.
  • Required at time of appointment: possession of a current license to practice as a registered nurse in the State of Arizona.
  • 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.
  • 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.

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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