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Job Information
Job Title:  CENTRAL MANAGEMENT INVESTIGATIVE NURSE 
Agency:  DEPARTMENT OF ECONOMIC SECURITY 
Job Reference ID:  57411 
Category:  SOCIAL AND HUMAN SERVICES 
Grade:  22 
Posted Date:  07/23/2020 
Close Date:   
Job Description



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.

 

Our Mission is to make Arizona stronger by helping Arizonans reach their potential through temporary assistance for those in need, and care for the vulnerable.

 

JUMP-START YOUR CAREER INTO THE HEALTHCARE INDUSTRY AS A

CENTRAL MANAGEMENT INVESTIGATIVE NURSE

3443 North Central, Phoenix, AZ 85007

www.az.gov

 

Job Summary:  The Department of Economic Security Division of Developmental Disabilities is seeking an experienced and highly motivated individual to join our team as a Central Quality Management Investigative Nurse. This position is reports within the Division of Developmental Disabilities, Quality Management Unit and conducts quality of care investigations pursuant to the contract between the Division and the Arizona Health Care Cost Containment System (AHCCCS). This position participates in the investigations of member-centric and systemic quality of Care Concerns to ensure member health and wellbeing.

Job Duties:

·         Conducts timely, thorough member-centric and systemic investigations for all division member quality of care issues and places vendor specific corrective action plans in place utilizing standardized process. Makes appropriate referrals to oversight and regulatory agencies. Participates in Care Concerns, Care Needed today member issues as assigned.

·         Conducts tracking and trending of member-centric and systemic Quality of Care (QOC) issues and vendor specific Corrective Action Plan Resolution Results in Division databases and in the AHCCCS QMS Portal. Appropriately elevates cases and/or trend concerns to QOC supervisor. M

·         Maintains all necessary documentation to support case work. Request appropriate documentation for quality of care investigations and ensures maintenance of comprehensive case records to support allegation review and substantiation levels.

·         Participates in Peer Review Meetings, technical assistance, focused audits/ reviews to ensure compliance with contractual and policy requirements. Ensures all work is in alignment to AHCCCS policies.

·         Other duties as assigned, as related to the position.

 

Knowledge, Skills, Abilities/Qualifications/Requirements:

·         Knowledge in applicable Laws, rules, policies, procedures and standards related to acute care delivery, Nursing scope of practice and quality management.

·         Knowledge in AHCCCS, DHS and CMS rules and regulations.

·         Knowledge in project management principles, professional report and technical writing principles.

·         Knowledge in general Laws and reporting regulations for abuse and neglect of vulnerable populations.

·         Knowledge in Health Care Issues and standards of care for vulnerable populations including developmentally disables and /or those receiving long term services.

·         Knowledge in Quality Management and Utilization Management Processes.

·         Skilled in technical skills including use of databases, Microsoft Office products, email and electronic referral and verification sources. Producing professional technical reports and letters.

·         Skilled in research and analysis.

·         Skilled in medical chart review.

·         Skilled in strong interpersonal skills in order to effectively relate to AHCCCS members, their families, and Agency stakeholders. Critically analyze problems and develop effective plans for corrective action.

·         Skilled in nursing process including assessment, monitoring and evaluation.

·         Ability to interpret rules, laws, and policies and apply to unique case circumstances.

·         Ability to work in a fast-paced environment.

·         Ability to organize, prioritize and track files and information from various sources.

·         Ability to works independently and with a variety of internal and external customers.

·         Ability to accommodates changing requirements or standards.

·         This position requires that the successful candidate possess and maintain an active license to practice as a Registered Nurse (RN) in the state of Arizona.

·         Arizona Level 1 Clearance Card is required.

·         Candidates for this position shall be subject to a search of the Child Protective Services Central Registry pursuant to A.R.S. 8-804.

·         In-state travel is required.

·         One (1) year of experience working with Intellectual Disability population.

·         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

 

We offer a competitive benefits package that is unmatched by the private sector. This includes a full health package, paid time off, 10 holidays per year, Tuition Reimbursement, Ride Share and Public Transit Subsidy and much more.

 

Interested? Apply today at azstatejobs.gov. For questions about this career opportunity, please call (602) 542-0089. Requests for accommodations can be made by calling this number or by clicking this link to access the ADA Job Board.

 

Equal Opportunity Employer/Program Ÿ Under Titles VI and VII of the Civil Rights Act of 1964 (Title VI and VII), and the Americans with Disabilities Act of 1990 (ADA), Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and Title II of the Genetic Information Nondiscrimination Act (GINA) of 2008; the Department prohibits discrimination in admissions, programs, services, activities, or employment based on race, color, sex, national origin, age, disability, genetics and retaliation. To request this document in alternative format or for further information about this policy, contact your local office; TTY/TDD Services: 7-1-1. ŸFree language assistance for DES services is available upon request.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
Position Requirements
Position Level:    Hours:   
 Work Arrangement:     Employment Type:   
Hourly Rate:  $0.00 / per hour  Salary:  $43,239.66-66,389.52 

 

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