Compliance Reviewer
4 weeks ago
We are seeking a highly skilled Compliance Reviewer to join our team at the Texas Department of Aging & Disability Services. As a Compliance Reviewer, you will play a critical role in ensuring the compliance of long-term care facilities with state and federal regulations.
Key Responsibilities:
Develop and maintain enforcement tracking systems for enforcement reviews.
Monitor and track survey processes from exit through quality assurance and enforcement reviews to include notifications to facilities.
Review and analyze survey findings to determine if evidence supports a deficiency/violation and the assigned scope and severity.
Make state and federal enforcement recommendations.
Provide consultation and guidance in the development and revision of facilities regional enforcement related guidance.
Provide guidance to regions and state office regulatory staff on enforcement issues by interpreting policies, regulations, rules, and state and federal guidance letters.
May participate in enforcement reviews.
Provides clarification to regional staff to ensure strength of future deficiencies resulting in remedies being imposed.
Communicates with Center for Medicare and Medicaid Services (CMS) for directives and guidance related to specific enforcement cases.
Assists RC or conducts referrals of facility staff to appropriate board/agency.
Reviews draft policies and guidance to ensure they conform to federal and/or state requirements as applicable.
Consults with internal stakeholders to ensure that consistent enforcement-related information is provided statewide.
Participates in workgroups, committees, and meetings as the nursing facility enforcement representative.
May be a witness at hearings.
Responds to management, media, and legislative inquiries as appropriate.
Compiles monthly reports of facilities enforcement activities noting patterns and trends.
Requirements:
Knowledge of state and federal laws and rules related to one or more of the above-named program areas.
Familiar with updated internal memoranda and program guidance.
Familiar with ASPEN and TULIP software programs with willingness and ability to learn new software programs.
Knowledge of state and federal laws and rules related to long-term care providers.
Knowledge of enforcement actions, survey, and program activities related to the aforementioned program areas.
Knowledge of the State Performance Standards as mandated by CMS.
Knowledge of applicable agency program policy and monitoring systems.
Skilled in the use of computers and applicable software including Microsoft Word, Outlook, TEAMS, SharePoint, and Excel programs.
Ability to gather, organize, and analyze facts; to compile and prepare reports; to develop and evaluate policies and procedures and initiate modifications or revisions as appropriate.
Ability to interpret policies, rules, and regulatory language. Ability to communicate (verbally and written) with leadership, agency staff, stakeholders, and the public. Ability to adjust work routine according to priorities.
Ability to establish and maintain professional and effective working relationships. Ability to interpret policies, procedures, and regulations.
Ability to work independently.
Ability to exercise professional judgment and reach sound decisions.
Ability to integrate complex concepts into difficult procedures, or complicated processes. Ability to multi-task and track multiple activities with competing priorities.
What We Offer:
Competitive starting salary.
Excellent state benefits, including health insurance and retirement.
Opportunity to regularly travel to different facilities within a region.
Collaborative and dynamic work environment.
Professional development opportunities.
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