• 518649

• PHOENIX
• REMOTE OPTIONS

• AHCCCS

• Full-time

AHCCCS

Arizona Health Care Cost Containment System
Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork

The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. AHCCCS is a nationally acclaimed model among Medicaid programs and a recipient of multiple awards for excellence in workplace effectiveness and flexibility.

AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona. Among government agencies, AHCCCS is recognized for high employee engagement and satisfaction, supportive leadership, and flexible work environments, including remote work opportunities. With career paths for seasoned professionals in a variety of fields, entry-level positions, and internship opportunities, AHCCCS offers meaningful career opportunities in a competitive industry.

Come join our dynamic and dedicated team.

Address: 801 E. Jefferson Street, Phoenix, AZ 85040

Open until filled: 1st review of resumes on 06/23/2023

Salary: $67,567 - $72,132 

Grade: 22

Must reside in the State of Arizona   

The Division of Fee For Service Management is looking for a highly motivated individual to join our team as a Quality Management Opioid Nurse. This position will be responsible to assist the Quality Manager implement and monitor new and existing opioid strategies, develop, and oversee strategies to apply the existing opioid initiatives for American Indians and Alaskan Natives. This position builds collaboration with stakeholders for implementation, conducts quality investigations, health and safety investigations and identifies and addresses barriers to quality care for Fee-For-Service members.

Major duties and responsibilities include but are not limited to:

• Participate in the development, administration, organization, planning, implementing, and monitoring programs, projects, processes, policies, and procedures related to opioid for Fee-For-Service (FFS). 
• Perform research and data analysis related to the opioid strategies, including tracking and trending of health & safety/immediate jeopardy situations involving FFS members. Develop and maintain reporting processes. 
• Coordinate data, participate in on-site review and coordinate member movement as necessary in the event of serious incidents, health & safety and immediate jeopardy situation involving FFS members, coordinating with other state agencies including Arizona Department of Health Services Licensure, Adult Protective Services, Department Child Safety, as applicable. 
• Participates in the monitoring and oversight processes of FFS providers, including opioid research and data analysis, investigation, provides technical assistance, and tracking and trending of quality-of-care concerns and health & safety/immediate jeopardy situations involving FFS providers.

This position may offer the ability to work remotely, within Arizona, based upon the department's business needs and continual meeting of expected performance measures.

The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, and commissions, many State employees participate in the State’s Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona unless an exception is properly authorized in advance. 

Knowledge: 

• Current standards of medical/behavioral practice and modes of delivery for acute and non-acute medical/behavioral care/services. 
• Quality management regulations, rules, and processes.
• Health care delivery systems and mechanisms necessary for coordination and delivery of services. 

Skills: 

• Acute nursing and clinical processes including assessment, planning, intervention, and evaluation. 
• Clinical assessment skills.
• Problem solving techniques, evaluation, and initiation of appropriate action. 

Abilities: 

• Strong ability to collaborate with others for a mutually beneficial outcome. 
• Interpret clinical information and assess implications for treatment. 
• Assess variables which impact health and functioning.

Minimum: 

• Possession of a current license to practice as a registered nurse in the State of Arizona and a minimum of one (1) year professional healthcare industry experience in Quality or Utilization Management. 

Preferred: 

• Certified professional in healthcare quality

• Successfully complete the Electronic Employment Eligibility Verification Program (E-Verify), applicable to all newly hired State employees. 
• Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agency’s ability to reasonably accommodate any restrictions. 
• Travel is required for State business. Employees who drive on state business must complete any required driver training (see Arizona Administrative Code R2-10-207.12.) AND have an acceptable driving record for the last 39 months including no DUI, suspension or revocations and less than 8 points on your license. If an Out of State Driver License was held within the last 39 months, a copy of your MVR (Motor Vehicle Record) is required prior to driving for State Business. Employees may be required to use their own transportation as well as maintaining valid motor vehicle insurance and current Arizona vehicle registration; however, mileage will be reimbursed.

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.

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

Among the many benefits of a career with the State of Arizona, there are:
* 10 paid holidays per year
* Paid Vacation and Sick time off (13 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees)
* A top-ranked retirement program with lifetime pension benefits
* A robust and affordable insurance plan, including medical, dental, life, and disability insurance
* Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications)
* RideShare and Public Transit Subsidy
* A variety of learning and career 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.

For a complete list of benefits provided by The State of Arizona, please visit our benefits page

Lifetime Pension Benefit Program 

• Administered through the Arizona State Retirement System (ASRS). 
• Defined benefit plan that provides for life-long income upon retirement. 
• Required participation for Long-Term Disability (LTD) and ASRS Retirement plan. 
• Pre-taxed payroll contributions begin after a 27-week waiting period (prior contributions may waive the waiting period).

Deferred Retirement Compensation Program 

• Voluntary participation. 
• Program administered through Nationwide. 
• Tax-deferred retirement investments through payroll deductions.

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing careers@azahcccs.gov.
Requests should be made as early as possible to allow time to arrange the accommodation. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.