The Department of Economic Security, Division of Developmental Disabilities (DDD), is seeking an experienced and highly motivated individual to join our team as a Quality Assurance Investigative Nurse. This position is primarily responsible for conducting clinical investigations within established time-lines involving Division members while demonstrating the ability to remain objective, maintain confidentiality, have expertise regarding the situation and have no conflict involving the situation.
•Conducts on-site clinical health & safety visits to vendor sites for all health & safety concerns, Immediate Jeopardy or at the direction of the Divisional or AHCCCS QMU. 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 Corrective Action Plan (CAP) Remediation follow up. Reports all Health and Safety and QOCs to DDD QMU.
•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 promoting vendor/ provider regulatory compliance.
•Completes incident entry of the Incident Report into IMS. Notifies key clinical triage personnel of incidents & notifies other departments who may need to conduct an immediate follow up for the incident. Cross checks incident with client application database and District Employee Directory to verify information.
•Answers incident reporting phone line, ensures calls are entered into IMS, follows up with after hours emergency line designated contact to ensure all incidents are being entered. Conducts follow-up visits with vendors for written reports on incidents that were verbal notifications.
•Knowledge of Clinical Investigative Fact Finding and onsite clinical monitoring methods.
•Knowledge of Division Contractual, licensing and on-site monitoring.
•Knowledge of applicable laws, rules, policies, procedures and standards related to acute care delivery, Nursing Scope of practice and quality-Driven Healthcare Competencies.
•Knowledge of Managed Care, AHCCCS, ADHS and CMS.
•Skills in organization, planning and time management.
•Skills in written and oral communication.
•Skills in effective communication, interviewing, communicating with the public and staff.
•Skills in critical interviewing techniques.
•Ability to write, summarize and produce concise complex reports.
•Ability to use computer applications to complete reports (Excel, Power Point, IMS and FOCUS).
•Ability to travel when required.
•Ability to work in a fast paced environment.
The preferred/ideal candidate will have one (1) year of experience working with individuals with developmental disabilities or a vulnerable population. Experience conducting investigations is highly desirable
•Required at time of appointment: possession of a current license or temporary permit to practice as a registered nurse in the State of Arizona. Within six (6) months from date of hire, must possess a current license to practice as a registered nurse in the State of Arizona.
•Employees 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 the Child Protective Services Central Registry pursuant to A.R.S. 8-804.
We offer a competitive benefits package that is unmatched by the private sector and a culture that encourages team success and advocates for personal advancement.
-Affordable Health, Dental, Vision and Life and Disability Insurance
-10 holidays per year
-Paid Vacation and Sick time off - start earning it your 1st day
-Eligible to participate in the Public Service Loan Forgiveness Program (must meet qualifications)
-Contribute to, and participate in the Arizona State Retirement System
-Ride Share and Public Transit Subsidy
-Career Advancement Opportunities
-Opportunity to work remotely (home office) on an ad-hoc basis
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.
For questions about this career opportunity, please contact Jeanne Endicott at 480-589-4222 or JEndicott@azdes.gov.
Persons with a disability may request a reasonable accommodation such as sign language interpreter or alternative format by contacting 480-589-4222 or JEndicott@azdes.gov.
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.