Quality Assurance Nurse Jobs

About The Position

Requirements

• Knowledge in: Clinical Investigative Fact Finding and on-site clinical monitoring methods.
• Nurse Practice Act.
• Division Contractual, licensing and on-site monitoring.
• Applicable laws, rules, policies, procedures and standards related to acute care delivery, Nursing Scope of practice and quality-Driven Healthcare Competencies.
• Program guidelines and practices.
• Managed Care, AHCCCS, ADHS and CMS.
• Skills In: Organization, planning and time management
• Written and oral communication.
• Various computer software programs.
• Critical decision making, personnel management.
• Effective communication, interviewing, and communicating with the public and staff.
• Critical Interviewing Techniques.
• Ability to: Write, summarize, and produce concise, complex reports.
• Uses computer applications to complete reports (Excel, PowerPoint, IMS and FOCUS.
• Prioritize and complete assigned tasks by the required deadlines.
• Communicate effectively and work with groups.
• Travel when required.
• Work in a fast-paced environment.
• 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.
• 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.
• Must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).
• Driver’s License Requirements if driving is an essential function.

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