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QUALITY MANAGEMENT NURSING ADMINISTRATOR

  • 502438
  • PHOENIX
  • DEPT OF ECONOMIC SECURITY
  • Full-time

DEPARTMENT OF ECONOMIC SECURITY

Your Partner For A Stronger Arizona.

DES works with families, community organizations, advocates and state and federal partners to realize our collective vision that every child, adult, and family in Arizona will be safe and economically secure.

DES serves more than 3 million Arizonans Our Mission is to make Arizona stronger by helping Arizonans reach their full potential through temporary assistance for those in need, and care for the vulnerable.

QUALITY MANAGEMENT NURSING ADMINISTRATOR

Division of Developmental Disabilities (DDD)

Job Location:

Address:  4000 N. Central Ave., Phoenix, AZ 85012

Posting Details:

Salary: $55,202.99 - $99,500.75 

Grade: 25

Closing Date: 

Job Summary:

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 (DDD), is seeking an experienced and highly motivated individual to join our team as a Quality Management Nursing Administrator. 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. This position is responsible for:

Job Duties:

• Provides direct oversight of the incident triage process and the quality-of-care (QOC) concerns investigative process including timeliness, assignment of cases to staff and adherence to confidentiality and the protections of the QM investigative process, corrective action requirements and follow up
• Makes clinical determinations for the purpose of issuing health and safety visits to ensure member health and safety; participates in on site health and safety visits as needed; collaborates with the QM Medical Director and CMO regarding QOCs and resulting actions as well as collaborates with other operational areas within DDD to address health and safety concerns
• Conducts audits of member health and safety checks, triage process and QOC cases to evaluate staff compliance with timeliness, standard work and policies
• Tracks metrics/productivity, identifies trends and develops process improvements actions; conducts data analysis tracking and trending of QOCs to identify trends and areas for additional training and improvements within the provider network; prepares associated reports of findings and improvement activities
• Participates in Quality Management meetings and committees as well as other committees as required; presents reports of findings and improvement activities and engages in quality improvement discussions and strategies
• Provides supervision, mentors, and coaches staff to ensure compliance w/regulations and policies of DDD and departmental processes and guidelines to facilitate process improvements and other reports; facilitates regular 1:1s, team huddles, and other communication modalities with QM team; completes performance appraisals, authorize leave, and approves timecards
• Oversees and participates in audits of the Division's subcontracted Health Plans for compliance with QOC and SRE policies and practices, issues appropriate audit findings and monitors corrective actions

Knowledge, Skills & Abilities (KSAs):

• Knowledge of contract, CMS Managed Care Regulations 42 CFR § 438.340, policy compliance monitoring practices, other federal and state laws, DDD Policy and Procedures, and auditing methodologies
• Knowledge of clinical care principles
• Knowledge of the array of services and service sites within the DOD network including LTSS services and supports and the service delivery system
• Knowledge of quality management principles; auditing methodologies and contract and policy compliance monitoring practices
• Knowledge of applicable laws, rules, policies, procedures, Arizona Health Care Cost Containment System; Centers for Medicare and Medicaid and Department of Health Services
• Knowledge of process improvement principles and practices
• Knowledge of investigative processes and confidentiality necessary to ensure the fidelity of the QOC process
• Knowledge of patient safety
• Knowledge of behavioral health care issues and standards of care
• Knowledge of principles of Lean Management and leadership techniques
• Skills in analyzing problems and developing effective plans for corrective action and process improvement
• Skills in assessing, reviewing, analyzing, and responding to complex situation; problem solving
• Skills manipulating, analyzing, utilizing, and interpreting data
• Skills in utilizing spreadsheet and database applications
• Effective oral and writing communication skills
• Conflict resolution skills
• Skills in developing and implementing procedures and standard work
• Implementing process improvement strategies and activities
• Skills in conducting triage and implementing crisis intervention where appropriate
• Skills in understanding, interpreting, and implementing contract and policy requirements
• Ability to lead professional and paraprofessional staff
• Ability to prioritize and multi-task to meet goals and deadlines
• Ability to develop, conduct and coordinate trainings on identified issues and procedures for various audiences
• Ability to plan, organize complex work and complete reports based on data, and documents in an accurate, clear and professional manner
• Ability to relate with multi-level of employees and organizational personnel
• Ability to work cooperatively with others, establish and maintain effective relationships
• Ability to write reports and policies
• Ability to maintain comprehensive and confidential information/documentation
• Ability to work independently and multi-task in a fast­ paced environment
• Ability to understand the value stream of the clinical aspects of the quality management system
• Ability to utilize PDSA cycles for process improvements
• Ability to utilize visual management, and standard work to improve metrics
• Mentor, coach, and counsel subordinate staff

Selective Preference(s):

N/A

Pre-Employment Requirements:

• 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 41-2758.07 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
• 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.
• 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
• Successfully complete the Electronic Employment Eligibility Verification Program (E-Verify), applicable to all newly hired State employees

Benefits:

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
-Tuition reimbursement
-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

Retirement:

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.

Contact Us:

Apply through azstatejobs.gov. For questions about this career opportunity, please call Kari Nagler at (480) 536-2513 or email knagler@azdes.gov.

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by contacting (480) 536-2513. 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.