Would you like to be part of an amazing culture that helps Arizonans reach their full potential through providing services to support them? The Arizona Department of Economic Security (DES) is looking for individuals that are committed to service, community, and teamwork. The Department of Economic Security Division of Developmental Disabilities is seeking an experienced and highly motivated individual to join our team as a Healthcare Services Special Projects Nurse.
The Healthcare Services Special Projects Nurse is responsible for performing duties as assigned, in Utilization Control, Quality Assurance, Medical Audits; utilizing data systems information and/or on-site visits, reviews, audits and analyzes to determine the propriety of medical services, claims, equipment, authorization and records of health plans and providers; writes reports of findings and, as appropriate, and notes deficiencies.
The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, commissions, many State employees participate in the State’s Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona, unless an exception is properly authorized in advance.
•Devises a schedule for routine or special work projects. Analyzes and evaluates work procedures, methods and rules; makes determinations and recommendations according to established procedures.
•Resolves problems and questions presented by members, providers, and agency staff regarding work processes, policies, and health care programs.
•Writes detailed reports based on research, analysis and evaluation of data pertaining to specific projects, conditions, or proposals under study, involving application of expert or highly specialized knowledge, and recommendations for action to be taken or resolution of problems.
•Gathers and compiles data into statistical information to meet requirements of periodic or other reports, according to established procedures.
•Compares data from several sources to assure accuracy of technical specifications, rules or other technical documents, using judgment and relying upon considerable knowledge of the subject matter.
•Confers with and advises administrators and staff of medical facilities in matters relating to medical records maintenance and control.
•Microsoft Office programs and spreadsheets.
•Health assessment methods and techniques.
•Federal Regulations related to Medicaid, Medicare, Federal and State laws, agency rules, policies and procedures for medical services in a managed care environment.
•Arizona Health Care Cost Containment System (AHCCCS), Department of Health Services, and Centers for Medicare and Medicaid.
•Oral and written communication.
•Team work with internal and external stakeholders.
•Evaluate and coordinate patient care and clinical activities.
•Computer skills including electronic medical record, word processing, excel spreadsheet.
•Applying and interpreting Federal and State laws and agency rules, regulations, policies and procedures governing work assignment.
•Manage a complex array of projects with rapidly shifting priorities and time lines.
•Plan, organize, & manage time effectively.
•Communicate effectively, work cooperatively with others, and work independently with minimal supervision.
•Establish and maintain working relationships Write reports, policies and procedures.
Experience working with developmentally disabled individuals; experience with prior authorization skills in a managed care environment.
Required at time of appointment: possession of a current license or temporary permit to practice as a Licensed Practical nurse or a Registered nurse in the State of Arizona.
Employee shall have a valid Level One fingerprint clearance card issued pursuant to Arizona Revised Statute 41-2758.07 in order to work with children and vulnerable adults.
Candidates for this position shall be subject to a search of both the Child Protective Services Central Registry pursuant to A.R.S. 8-804 and the Adult Protective Services Registry pursuant to A.R.S. 46-459.
Employment may be contingent upon completion of a post-offer medical/physical examination and the agency's ability to reasonably accommodate any restrictions.
In-state travel is required. This position requires possession of and ability to retain a current, valid state-issued driver’s license appropriate to the assignment. Employees who drive on state business are subject to driver’s license record checks, must maintain acceptable driving records and must complete any required driver training (see Arizona Administrative Code R2-10-207.12.). Employees may be required to use their own transportation as well as maintaining valid motor vehicle insurance and current Arizona vehicle registration; however, mileage will be reimbursed.
The Arizona Department of Economic Security offers a comprehensive benefits package to include:
- Career Advancement & Employee Development Opportunities
- Flexible schedules to create a work/life balance
- Tuition Reimbursement
- Participation in the Arizona State Retirement System (ASRS)
- 10 paid holidays per year
- Stipend Opportunities
- Infant at Work Program
- RideShare and Public Transit Subsidy
- Affordable Medical, Dental, and Vision
- Life and Disability Insurance
By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.
For a complete list of benefits provided by The State of Arizona, please visit our benefits page
State employees are required to participate in the Arizona State Retirement System (ASRS), the State sponsored retirement contribution plan and the Long-Term Disability (LTD) program after a 27-week waiting period. The ASRS defined benefit plan provides for life-long income upon retirement. You will also have the option to participate in a voluntary deferred compensation program to take advantage of tax-deferred retirement investments.
On, or shortly after, your first day of work you will be provided with additional information about the available insurance plans, enrollment instructions, submission deadlines and effective dates.
Apply through azstatejobs.azdoa.gov. For questions about this career opportunity, please call Teresa Brown at 480-673-0590 or email firstname.lastname@example.org.
Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by contacting 480-673-0590. Requests should be made as early as possible to allow time to arrange the accommodation. Arizona State Government is an AA/EOE/ADA Reasonable Accommodation Employer.
ARIZONA MANAGEMENT SYSTEM (AMS)
All Arizona state employees operate within the Arizona Management System (AMS), an intentional, results-driven approach for doing the work of state government whereby every employee reflects on performance, reduces waste, and commits to continuous improvement with sustainable progress. Through AMS, every state employee seeks to understand customer needs, identify problems, improve processes, and measure results.
State employees are highly engaged, collaborative and embrace a culture of public service.
The State of Arizona is an Equal Employment Opportunity Employer.