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QUALITY ASSURANCE INVESTIGATIVE NURSE

State of Arizona
United Statesfull_timeVerifiedPosted 1 Dec 2025
💰 $78,000/yr($66,000/yr$78,000/yr)

About the role

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: 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 NURSE

Job Location:

Address:  Division of Developmental Disabilities (DDD)
11526 W. BELL ROAD SURPRISE, ARIZONA 85378

Posting Details:

Salary: $66,000.00 - $78,000.00 

Grade: 22

Closing Date: 12/05/2025

Job Summary:

Would you like to be part of an amazing team that makes Arizonans thrive? At the Arizona Department of Economic Security (DES) we strengthen  individuals, families, and communities for a better quality of life. DES is looking for individuals who are committed to service, community, and teamwork. To learn more about DES please visit des.az.gov or click on the link here to view ‘Our DES’ video. Come Join the DES Team!

The Department of Economic Security, Division of Developmental Disabilities (DDD), is seeking an experienced and highly motivated individual to join our team as a Habilitation Nurse 2. 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.

Job Duties:

Essential Duties and Responsibilities include but are not limited to:
• 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.
• 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.

Knowledge, Skills & Abilities (KSAs):

Knowledge in:
• Applicable Laws, rules, policies, procedures and standards related to acute care delivery , Nursing scope of practice and quality management.
AHCCCS, DHS and CMS rules and regulations.
• Project management principles, professional report and technical writing principles.
• General Laws and reporting regulations for abuse and neglect of vulnerable populations. Health Care Issues and standards of care for vulnerable populations including including developmentally disables and /or those receiving long term services Quality Management and Utilization Management.
Skills In:
• Technological skills including use of data bases, Microsoft Office products, email and electronic referral and verification sources.
• Producing professional technical reports and letters.
• Research and analysis.
• Oral and written communication skills.
• Personal planning, organization and time management.
• Medical chart review.
• Nursing Process including assessment, monitoring, and evaluation.
• Decision making skills.
• 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.
Ability to:
• Interpret rules, laws, and policies and apply to unique case circumstances.
• Work in a fast paced environment.
• Organize, prioritize and track files and information from various sources.
• Works independently and with a variety of internal and external customers.
• Accommodates changing requirements or standards.

Selective Preference(s):

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State of Arizona

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