NURSING SUPERVISOR - QUALITY OF CARE
Job description
Supervises a clinical quality-of-care unit within the Division of Developmental Disabilities, overseeing investigations of member and provider concerns and ensuring compliance with AHCCCS and other regulations. The role provides clinical oversight to staff and manages case tracking, trending, and resolution.
At a glance
- Employment
- Full-time · Employee (employment agreement)
- Work mode
- Hybrid
- Pay
- USD 80,000 – 87,000 / year
- Apply before
- November 4, 2026
What you'll do
- Provide support/guidance to clinical staff to receive, research, document, & resolve QOC issues via standardized processes
- Ensure thorough, timely, & member-centric investigations and that investigators appropriately progress assigned cases and meet established investigative timeframes
- Ensure appropriate referrals and provide clinical oversight to staff
- Ensure appropriate and timely review and response through the AHCCCS Notification Mailbox
- Conduct tracking & trending of member, service site, vendor, & Division concerns
- Facilitate weekly case resolution and ensure appropriate follow-up & corrective actions are established & monitored through resolution
- Track & monitor member-specific and systemic care concerns
- Evaluate cases against established escalation criteria & facilitate timely elevation through the QM Committee structure and DDD Medical Director, Chief Quality Officer, or executive leadership
- Maintain all necessary documentation to support the work of the unit
- Provide technical assistance to staff on process improvement and ensure inter-rater reliability of unit work
- Conduct file reviews as a part of litigation review
- Supervise staff including hiring, training, 1:1 meetings, coaching, day-to-day oversight, completing Performance Appraisals, authorizing leave, approving Timecards
- Participate in operational reviews, technical assistance, & focused studies/reviews to ensure compliance with contract & policy requirements
- Audit cases & provide guidance to staff to ensure alignment with Division & AHCCCS policies to promote an "audit-ready" unit
- Maintain the established tracking and trending process used to identify potential concerns with specific members and/or providers for follow-up
What we're looking for
- Knowledge of applicable laws, rules, policies, procedures, and standards related to acute care delivery, nursing scope of practice, and quality management
- Knowledge of Arizona Health Care Cost Containment System (AHCCCS), Department of Health Services (DHS), and Centers for Medicare and Medicaid rules and regulations
- Knowledge of project management principles
- Knowledge of professional report and technical writing principles
- Knowledge of general laws and reporting regulations for abuse and neglect of vulnerable populations
- Knowledge of health care issues and standards of care for vulnerable populations including developmentally disabled, those receiving long-term care services, and/or behavioral health services
- 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
- Ability to organize, prioritize, and track files and information from various sources
- Ability to work independently and with a variety of internal and external customers
- Ability to think critically, organize workflow, and modify existing processes with minimal supervision
- Ability to accommodate changing requirements or standards
- Ability to lead and supervise a diverse workforce
- Possession of a current license to practice as a registered nurse in the State of Arizona
- Successfully pass background and reference check
- Valid Level One fingerprint clearance card issued pursuant to Arizona Revised Statutes 41-1968
- Subject to a search of the Department of Child Safety Central Registry and the Adult Protective Services Registry
- Successfully complete the Electronic Employment Eligibility Verification Program (E-Verify)
Nice to have
- Clinical supervision experience including one (1) year of experience working with the Intellectual Disability population
Your team
Division of Developmental Disabilities (DDD)
DDD provides individuals with developmental disabilities, and their families, services and supports that are flexible, high quality, and member driven.
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
Apply
About Arizona 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.
Mission
To strengthen individuals, families, and communities for a better quality of life.
Key facts
- Arizona
- Serves more than 3 million Arizonans
- Includes the Division of Developmental Disabilities (DDD)
What they value
- Service
- Community
- Teamwork
