Compliance Reviewer

4 days ago

Breckenridge, Texas, United States Health & Human Services Comm Full time
Job Description:

As a Compliance Reviewer with the 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.

This role requires effective communication and problem-solving skills to ensure that issues and concerns of facility staff and surveyors are clearly articulated and understood.

You will maintain current knowledge regarding regulations governing regulatory services and participate in non-home region surveys and investigations.

This position also involves preparing reports and/or training according to established protocols, and completing other assignments as directed by the Regional Director.

Key Responsibilities:
  • Maintain a regular and predictable work schedule documented on a monthly calendar with 75% of your time being spent in facilities.
  • Serve as a liaison for assigned area on complex issues with agency staff or outside entities.
  • Coordinate and attend 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.
  • Work with provider and survey staff to facilitate resolution of conflicts and interpretations of standards.
  • Maintain effective working relationships with providers and internal and/or external agency staff.
  • Coordinate presenters, location, schedules dates, and attends annual provider meetings for all programs to assist with provider information in the region.
  • Communicate 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.
  • Maintain current knowledge in assigned area by reviewing literature, attending meetings and/or seminars and communicating with other professionals.
  • Attend all mandatory program training and other assigned provider training to assist as needed.
  • Maintain 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).
  • Evaluate 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.
  • Participate and promote 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.
  • Knowledge 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.

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