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QUALITY ASSURANCE INVESTIGATIVE NURSE

1 week ago


Surprise, United States Arizona State Government Full time
DEPARTMENT OF ECONOMIC SECURITYYour Partner For A Stronger Arizona.

DES works with families, community organizations, advocates and state and federal partners to realize our collective vision: A thriving Arizona.

DES serves more than 3 million Arizonans. Our Mission is to strengthen individuals, families, and communities for a better quality of life.
QUALITY ASSURANCE INVESTIGATIVE NURSEJob Location:Address: Division of Developmental Disabilities (DDD)
11526 West Bell Road, Surprise, Arizona, 85378Posting Details:Salary: $64,000.00 to $78,000.00
Grade: 22
Closing Date: January 7, 2025Job Summary:

Would you like to be part of an amazing team that helps Arizonans thrive? At the Department of Economic Security (DES), we strengthen individuals, families, and communities for a better quality of life. 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 QA Investigative Nurse in District West. DDD provides individuals with developmental disabilities, and their families, services and supports that are flexible, high quality, and member-driven. This is a critical DDD position that conducts on-site clinical health and safety visits to vendor sites all across northern Arizona.

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 with principal interest in a DDD Qualified Vendor Agreement, and cannot be employed or subcontracted by a DDD Qualified Vendor.

This position may offer the ability to work remotely, within Arizona, based upon the department's business needs and continual meeting of expected performance measures.

Job Duties:

Essential duties and responsibilities include but are not limited to:

  • Conducts on-site clinical health & safety visits to vendor sites for all health & safety concerns, Immediate Jeopardy or at the direction of the Div/AHCCCS QMU. Performs as the lead for the review/fact finding & participates in on-site visits while maintaining member confidentiality, participating in health & safety meetings, scheduled & unscheduled visits of placement settings, and 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. Follows 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 promote vendor/provider regulatory compliance.
  • Completes incident entry of the IR 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 app database & District Employee Directory to verify info.
  • Answers incident reporting phone line, ensures calls are entered into IMS, follows up with after-hour 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, Skills & Abilities (KSAs):

Knowledge of:

  • 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:

  • Developing, Organization, planning and time management. Written and oral communication skills.
  • Various computer software programs skills.
  • Critical decision-making, personnel management.
  • Effective communication, interviewing, communicating with the public and staff.
  • Critical Interviewing Techniques.

Ability to:

  • Apply, write, summarize, and produce concise complex reports. Work in a fast-paced environment.
  • Use computer applications to complete reports (Excel, PowerPoint, IMS and FOCUS).
  • Prioritize and complete assigned tasks by required deadlines.
  • Communicate effectively and work with groups.
  • Travel when required.
Selective Preference(s):

The ideal candidate for this position will have:

  • One (1) year of experience working with individuals with developmental disabilities or a vulnerable population. Experience conducting investigations is highly desirable.
Pre-Employment Requirements:
  • Required at time of appointment: possession of a current license to practice as a registered nurse in the State of Arizona.
  • 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. Any employee operating a motor vehicle on State business must possess and retain a current, valid class-appropriate driver's license, complete all required training, and successfully pass all necessary driver's license record checks. The license must be current, unexpired, and neither revoked nor suspended. Employees who drive on state business are subject to Driver's license record checks, must maintain acceptable driving records, and must complete all required driver training. An employee who operates a personally owned vehicle on state business shall maintain the statutorily required liability insurance.
  • Employee shall have a valid Level One fingerprint clearance card issued pursuant to Arizona Revised Statute 41-2758.07 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).
Benefits:

The Arizona Department of Economic Security offers a comprehensive benefits package to include:

• 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
• Vacation time accrued at 4.00 hours bi-weekly for the first 3 years
• Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
• Sick time accrued at 3.70 hours bi-weekly
• Deferred compensation plan
• Wellness plans
• Tuition Reimbursement
• Stipend Opportunities
• Infant at Work Program
• Rideshare and Public Transit Subsidy
• Career Advancement & Employee Development Opportunities
• Flexible schedules to create a work/life balance

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.

Learn more about the Paid Parental Leave pilot program.
For a complete list of benefits provided by The State of Arizona, please visit our benefits page.

Contact Us:

For questions about this career opportunity, please contact Laura Kaspar at 602-390-5549 or LKaspar@azdes.gov.

The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer. Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by contacting 602-390-5549 or LKaspar@azdes.gov. Requests should be made as early as possible to allow time to arrange the accommodation.

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