Quality Management Nurse Job Vacancy in State of Arizona Phoenix, AZ 85007 – Latest Jobs in Phoenix, AZ 85007

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Full Details :
Company Name : State of Arizona
Location : Phoenix, AZ 85007
Position : Quality Management Nurse

Job Description : The Division of Fee for Service Management (DFSM) is looking for a highly motivated individual to join our team as a Quality Management Nurse. This position is responsible for participating in the development, implementation, and monitoring of the DFSM quality care management functions, and works closely with the DHCM Clinical Quality Management Unit, other divisions with AHCCCS, and other state agencies.

Job Duties:

Participates in the development and implementation of the DFSM quality care management processes, policies, and procedures, as directed by the DFSM Quality Management Manager (HPM III).

Performs research and data analysis, including tracking and trending of health and safety/immediate jeopardy situations involving FFS members.

Develops and maintains reporting processes and metrics including LEAN principles and activities.

Coordinates data, participates in on site reviews, and coordinates member movement as necessary in the event of serious incidents, health and safety, and immediate jeopardy situations involving FFS members, coordination with DHCM CQM, OIG, OALS, and other state agencies including ADHS Licensure, APS, DCS as applicable.

Participates in the monitoring and oversight processes of FFS providers, including research and data analysis, investigation, provides technical assistance, and tracking and trending of quality of care concerns and health and safety/immediate jeopardy situations involving FFS providers.

Knowledge, Skills & Abilities (KSAs):

Holds a License as a Registered Nurse or Nurse Practitioner

Knowledge of American Indian Tribes/ FFS Programs, Policies, and Intergovernmental Agreements.

Strong interpersonal skills in working with agency management, and people of diverse cultures and socioeconomic backgrounds; project management to meet goals and deadlines.

Strong ability to collaborate with others for mutually beneficial outcome to make effective decisions in a high volume fast paced environment; and strong organizational skills for setting priorities, workload and record keeping.

Knowledge of current standards of medical/behavioral practice and modes of delivery for acute and non-acute medical/behavioral care/services.

Skilled in nursing and clinical processes including assessment, planning, intervention, and evaluation.

Ability to read, interpret and apply complex rules and regulations.

Selective Preference(s):

Certified Professional in Healthcare Quality. At least one-year professional healthcare industry experience in Quality or Utilization Management.

Pre-Employment Requirements:

In accordance with CFR 432.50 FFP, skilled professional medical personnel must have professional education and training in the field of medical care or appropriate medical practice. “Professional education and training” means the completion of a 2-year, or longer, program leading to an academic degree or certification in a medically related profession. For this position, a licensed Registered Nurse, or Nurse Practitioner is required. Experience in the administration, direction, or implementation of the Medicaid program is not considered the equivalent of professional training in a field of medical care.

Benefits:

At AHCCCS, we promote the importance of work/life balance by offering workplace flexibility and a variety of learning and career development opportunities. Among the many benefits of a career with the State of Arizona, there are 10 paid holidays per year, accrual of sick and annual leave, affordable medical benefits and participation in the Arizona State Retirement Plan.
For a complete list of benefits provided by The State of Arizona, please visit our benefits page

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