Quality Assurance Investigative Nurse (Triage Nurse)
Quality Assurance Investigative Nurse (Triage Nurse)
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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: 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
(TRIAGE NURSE)
Address: Division of Developmental Disabilities (DDD)
4000 N. CENTRAL AVENUE PHOENIX AZ 85012
Salary: $66000.00-$78000.00
Grade: 22
Closing Date: 08/14/2025
Wouldyou 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 click on the linkhereto 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 Quality Assurance Investigate 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.
Essential duties and responsibilities include but are not limited to:
Receive research document and resolve quality of care issues utilizing standardized processes via standardized processes. Complete thorough timely and member-centric investigations. Make appropriate referrals to oversight entities and law enforcement.
Conducts tracking and trending of member service site provider and Division concerns. Ensure appropriate follow-up and corrective actions are established and monitored through resolution. Appropriately elevate cases and/or trend concerns to Triage Nurse Supervisor.
Ensure quality of care to Division members; ensuring dignity and respect with a focus on their unique situations and special health care needs. Promote member-centric care and timely communication to members/families. Address all identified needs/concerns and ensure appropriate care coordination.
Maintain all necessary documentation to support case work. Request appropriate documentation for case reviews and ensure maintenance of comprehensive case records to support allegation review and substantiation level.
Participate in operational reviews technical assistance and focused studies/reviews to ensure compliance with contract and policy requirements. Ensure all work is completed in alignment with Division and AHCCCS policies to promote an audit-ready unit.
Knowledge of:
Participating in operational reviews technical assistance and focused studies/reviews to ensure compliance with contract and policy requirements. Ensure all work is completed in alignment with Division and AHCCCS policies to promote an audit-ready unit.
Arizona Health Care Cost Containment System (AHCCCS) Department of Health Services (DHS) and Centers for Medicare and Medicaid rules and regulations
Health care issues and standards of care for vulnerable populations including developmentally disabled and/or those receiving long term care services
Quality management and utilization review processes
Professional report and technical writing principles
General laws and reporting regulations for abuse and neglect of vulnerable populations
Skills In :
Technological skills including use of databases Microsoft Office products email and electronic referral and verification sources.
Producing professional technical reports letters and other items.
Analyze problems and develop effective plans for corrective action.
Strong interpersonal skills in order to effectively relate to AHCCCS members their families and Agency stakeholders.
Nursing processes including assessment monitoring and evaluation.
Research and analysis and verbal written communication
Ability To:
Interpret rules laws and policies and apply to unique case circumstances.
Organize prioritize and track files and information from various sources.
Work independently and with a variety of internal and external customers. To think critically organize workflow and modify existing processes with minimal supervision
Accommodate changing requirements or standards.
Work in a fast-paced environment.
The ideal candidate for this position will have:
At least one (1) year of experience working with Intellectual Disability population.
Required at time of appointment: possession of a current license to practice as a registered nurse in the State of Arizona.
Employee shall have a valid Level One fingerprint clearance card issued pursuant to Arizona Revised Statute 41-2758.07 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.
Successfully pass background and reference check; employment is contingent upon completion of the above-mentioned process and the Agencys 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).
If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business then the following requirements apply: Drivers License Requirements.
The Arizona Department of Economic Security offers a comprehensive benefits package to include:
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
Vacation time accrued at 4.00 hours bi-weekly for the first 3 years
Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
Sick time accrued at 3.70 hours bi-weekly
Deferred compensation plan
Wellness plans
Tuition Reimbursement
Stipend Opportunities
Infant at Work Program
Rideshare and Public Transit Subsidy
Career Advancement & Employee Development Opportunities
Flexible schedules to create a work/life balance.
Learn more about the Paid Parental Leave pilot programhere. For a complete list of benefits provided by The State of Arizona please visit our benefits page
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.
For questions about this career opportunity please contact us Alyssa Figueroa at or .
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 or . Requests should be made as early as possible to allow time to arrange the accommodation.
Employment Type
Full-Time
