NURSING SUPERVISOR - QUALITY OF CARE

Job Duties:

Essential Duties and Responsibilities include but are not limited to:

● Provide support/guidance to clinical staff to receive, research, document, & resolve QOC issues via standardized processes. Ensure thorough, timely, & member-centric investigations. Ensure investigators appropriately progress assigned cases and meet established investigative timeframes. Ensure appropriate referrals. Provide clinical oversight to staff. Ensure appropriate and timely review and response through the AHCCCS Notification Mailbox.

● Conducts tracking & trending of member, service site, vendor, & Division concerns. Facilitates weekly case resolution. Ensures appropriate follow-up & corrective actions are established & monitored through resolution. Tracks&monitors member-specific and systemic care concerns. Evaluates cases against established escalation criteria & facilitates timely elevation through the QM Committee structure and DDD Medical Director, Chief Quality Officer, or executive leadership, as appropriate.

● Maintains all necessary documentation to support the work of the unit. Provides technical assistance to staff on process improvement. Ensures inter-rater reliability of unit work. Conducts file reviews as a part of litigation review.

● Responsible for all duties/responsibilities for the supervision of staff. Includes hiring, training, 1:1 meetings, coaching, day-to-day oversight, completing Performance Appraisals, authorizing leave, approving Timecards, etc.

● Participate in operational reviews, technical assistance, & focused studies/reviews to ensure compliance w/contract & policy requirements. Audit cases & provide guidance to staff to ensure alignment w/Division & AHCCCS policies to promote an “audit-ready” unit. In addition, this position maintains the established tracking and trending process used to identify potential concerns with specific members and/or providers for follow-up.

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

● 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, those

receiving long-term care services, and/or behavioral health services

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

● Research and analysis

● Oral and written communication

● Personal planning, organization, and time management

● Medical chart review

● Leadership, planning, implementing, monitoring, and evaluating

● Decision making

Ability to:

● Work in a fast-paced environment

• Organize, prioritize, and track files and information from various sources

● Work independently and with a variety of internal and external customers

● Think critically, organize workflow, and modify existing processes with minimal supervision

● Accommodate changing requirements or standards

● Lead and supervise a diverse workforce

Selective Preference(s):

The ideal candidate for this position will have:

● Clinical supervision experience including one (1) year of experience working with the Intellectual Disability population.

Pre-Employment Requirements:

• 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: Driver’s License Requirements. 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).

● 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.

● Employee shall have a valid Level One fingerprint clearance card issued pursuant to Arizona Revised Statutes 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.

● All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

● Possession of a current license to practice as a registered nurse in the State of Arizona.

Benefits:

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

• 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

By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.

Learn more about the Paid Parental Leave program here. 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 lifelong 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 Ariana Dominguez at 480-790-1749 or

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 480-790-1749 or . Requests should be made as early as possible to allow time to arrange the accommodation.

Salary: $80,000.00 - $87,000.00 | Pay Scale: N2

Originally posted on Himalayas

• Nursing Supervisor
• Registered Nurse
• Clinical Supervisor
• Healthcare Quality Manager

Source: Himalayas