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:

Division of Developmental Disabilities (DDD)
District North QA
1701 North 4th Street, Flagstaff, Arizona 86004

Posting Details:

Salary: $64,000.00 to $78,000.00 

Grade: 22

Closing Date: December 1, 2024

Job 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. 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 QA Investigative Nurse in District North. 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.
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.

Job Duties:

Essential Duties and Responsibilities include but are not limited to:
• Conducts on-site clinical health and safety visits to vendor sites for all health and safety concerns, Immediate Jeopardy concerns or at the direction of the Divisional or AHCCCS Quality Management Unit. Performs as the lead for reviewing/fact finding and participates in on-site visits while maintaining member confidentiality, participate in health and 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 ups. 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 promoting vendor/provider regulatory compliance.
• Completes incident entry of the incident report (IR) into IMS. Notifies key clinical triage personnel of incidents and notifies other departments who may need to conduct an immediate follow up for the incident. Cross checks incident with the client application database and District Employee Directory to verify info.
• Answers incident reporting phone line, ensures calls are entered into IMS, follows up with the afterhours 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.
• Drive to and from licensed settings to complete clinical health and safety visits.

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. Arizona Health Care Cost Containment System (AHCCCS), Department of Health Services (DHS), and Centers for Medicare and Medicaid rules and regulations.
• Clinical Investigative Fact Finding and on­site clinical monitoring methods.
• Nurse Practice Act.
• Division Contractual, licensing and on-site monitoring.
• Program guidelines and practices.
• Managed Care, AHCCCS, ADHS and CMS policies.

Skills I