QUALITY OF CARE CONCERN NURSE

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 OF CARE CONCERN NURSE

Job Location: Division of Developmental Disabilities (DDD) 4000 North Central Avenue, Phoenix, Arizona 85012 Posting Details: Salary: $66,000.00 - $78,000.00 Grade: 22 Closing Date: October 22, 2026 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. Please visit des.az.gov. The Department of Economic Security, Division of Developmental Disabilities (DDD), is seeking an experienced and highly motivated individual to join our team as a Quality of Care Concern Nurse. 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, 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 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 developmentally disabled and /or those receiving long term services. Quality Management and Utilization Management Processes. Skills In: Technological skills including use of data bases, Microsoft Office products, Google Suite, 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): The ideal candidate for this position will have: One (1) year of experience working with the Intellectual Disability population. Pre-Employment Requirements: Required at time of appointment: possession of a current license to practice as a registered nurse in the State of Arizona. 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). Employee shall have a valid Level One fingerprint clearance card issued pursuant to Arizona Revised Statute 41-1968 in order 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. 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 operated a personally owned vehicle on state business shall maintain the statutorily required liability insurance (see Arizona Administrative Code (A.A.C.) (R2-10-201.11)). 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 paid leave for 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 Learn more about the Paid Parental Leave program. For a complete list of benefits provided by The State of Arizona, please visit our benefits page. Retirement: State employees are required to participate in the Arizona State Retirement System (ASRS), the State sponsored retirement contribution plan and the Long-Term Disability (LTD) program after a 27-week waiting period. The ASRS defined benefit plan provides for life-long income upon retirement. You will also have the option to participate in a voluntary deferred compensation program to take advantage of tax-deferred retirement investments. On, or shortly after, your first day of work you will be provided with additional information about the available insurance plans, enrollment instructions, submission deadlines and effective dates. Contact Us: For questions about this career opportunity, please contact Wendy Browning at View phone number on click.appcast.io or View email address on click.appcast.io. 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 View phone number on click.appcast.io or View email address on click.appcast.io. Requests should be made as early as possible to allow time to arrange the accommodation. #J-18808-Ljbffr State of Arizona