Compliance Reviewer

Job Description:
As a Compliance Reviewer with Health & Human Services Comm, you will serve as a liaison for Long Term Care facility staff, ombudsman staff, and survey and investigation team members to resolve issues and improve performance in Long Term Care facilities. The Facility Liaison ensures that issues and concerns of facility staff and surveyors are clearly articulated and understood. This position meets regularly with providers to discuss issues and concerns as they pertain to regulations and survey practices. The Facility Liaison maintains current knowledge regarding regulations governing regulatory services; participates in non-home region surveys and investigations. This position keeps current on nursing, dietary, social services and pharmacy service procedures; prepares reports and/or training according to established protocols, and completes other assignments as directed by the Regional Director.

Key Responsibilities:
Maintains a regular and predictable work schedule documented on a monthly calendar with 75% of your time being spent in facilities.
Serves as a liaison for assigned area on complex issues with agency staff or outside entities.
Coordinate and attends quarterly ombudsman/SSLC meetings.
Monitor/Proctor assigned medication aide exams.
Conduct all NATCEP program evaluations and submits required paperwork within established timeframes.
Compile and maintain an Email Distribution List of all providers in each program.
Works with provider and survey staff to facilitate resolution of conflicts and interpretations of standards. The goal is to achieve optimal resident outcome.
Maintains effective working relationships with providers and internal and/or external agency staff.
Coordinates presenters, location, schedules dates, and attends annual provider meetings for all programs to assist with provider information in the region.
Communicates on a complex level with others (internally and/or externally) to provide, exchange or verify information, answer inquiries, address issues and resolve problems or complaints in a timely manner.
Maintains current knowledge in assigned area by reviewing literature, attending meetings and/or seminars and communicating with other professionals.
Attends all mandatory program training and other assigned provider training to assist as needed.
Maintains current License in Texas and meets any continuing education units for their discipline, as applicable.
Interprets policies, procedures, rules, regulations and/or standards to others (for example: staff, applicants, clients, providers, vendors, the public, public officials).
Evaluates program issues, procedures and/or processes for improved program performance and coordinates with management staff to identify training needs and assists in developing and implementing training for staff.
Reviews statistics, reports, operational procedures/practices, findings, survey, quality assurance activities, performance measures and best practices to evaluate program issues and procedures.
Participates and promotes culture change activities.
As assigned, travels to conduct out-of-region surveys, licensure, and complaint/abuse investigations in Nursing Facilities, Skilled Nursing Facilities, Assisted Living Facilities, and Day Activity and Health Services.
Completes other assignments as directed by the Regional Director, or designee.

Requirements:
Knowledge of health care laws and regulations pertinent to the regulation of nursing facilities, assisted living facilities, and day activity and health services; and of community health and nursing care principles, practices, and procedures.
Ability to collect and analyze data and solve work problems.
Ability to analyze and interpret written policy material, procedures, and regulations.
Ability to work independently, exercise professional judgment and reach sound decisions.
Ability to maintain effective, positive working relationships with internal and external stakeholders.
Proven ability to communicate effectively orally and in writing.
Proven ability to actively listen and present comprehensive, complex material to internal and external stakeholders.
Professionalism and the ability to work effectively both independently and on a team.
Skill in operating personal computers.
Experience and skill in training and providing guidance, policy clarifications, and information to others.

Preferred Qualifications:
SMQT preferred or must successfully obtain Surveyor Minimum Qualification (SMQT) within the first year of employment.
Registration or Licensure in one of the survey disciplines including Registered Nurse, Social Worker, Registered Dietician, Nutritionist, QIDP, Investigator VI, Program Specialist, preferred.

Working Conditions:
Must be willing to work hours other than 8-5 M-F. Must be able to travel as needed to full Regional service area as needed for job responsibilities.
Note: This position is able to work a compressed workweek of four 10-hour days.
All applicants must pass a fingerprint criminal background check.
If you are an active or former licensed nursing facility administrator, certified nurse aide, or medication aide, hiring will be pending until professional licensing and Employee Misconduct Registry checks are completed.

Equal Employment Opportunity:
In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
All applicants must pass a fingerprint criminal background check.

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