QUALITY ASSURANCE INVESTIGATIVE NURSE

Department of Economic Security – Division of Developmental Disabilities (DDD), Phoenix, AZ

About the role

The Division of Developmental Disabilities (DDD) provides individuals with developmental disabilities, and their families, services and supports that are flexible, high-quality, and member-driven. These services offer opportunities to exercise rights and responsibilities of independent decision-making and engagement in the community.

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

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 and participates in on-site visits while maintaining member confidentiality.
• Participates 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 in the investigative and severity determination process of the Quality of Care (QOC) Investigation.
• Follows up with vendors regarding the Corrective Action Plan (CAP) Remediation.
• Reports all Health and Safety and QOCs to DDD QMU.
• Drives to and from licensed settings to complete clinical health and safety visits.
• Provides vendor agencies, service providers, and Division staff with ongoing training, technical assistance, and continued on-site monitoring to reduce the likelihood of incident recurrence and promote vendor/provider regulatory compliance.

Requirements

• 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 to work with children and vulnerable adults.
• Subject to a search of both the Department of Child Safety Central Registry and the Adult Protective Services Registry.
• 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 must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).
• If driving is an essential function of the job, must meet Driver’s License Requirements.

Qualifications

• Clinical Investigative Fact-Finding and on-site clinical monitoring methods.
• Knowledge of 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.
• Organization, planning, and time management.
• Written and oral communication, various computer software programs (Excel, PowerPoint, IMS, and FOCUS).
• Critical decision-making and personnel management.
• Effective communication, interviewing, and public interaction.
• Ability to write, summarize, and produce concise, complex reports.
• Prioritize and complete assigned tasks by required deadlines.
• Work effectively in groups and travel when required.
• Work in a fast-paced environment.

Selective Preferences

• One (1) year of experience working with individuals with developmental disabilities or a vulnerable population.
• Experience conducting investigations is highly desirable.

Pay

$66,000.00 - $78,000.00 annually

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 for a 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.