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Healthcare Compliance Surveyor

  • 501992
  • PHOENIX
  • DEPT OF HEALTH SERVICES
  • Full-time

DEPT OF HEALTH SERVICES

The Arizona Department of Health Services promotes and protects the health of Arizona’s children and adults. Our mission is to promote, protect, and improve the health and wellness of individuals and communities in Arizona. We strive to set the standard for personal and community health through direct care, science, public policy, and leadership. ADHS promotes alternative work schedules, flexible hours. We have positions that can fit any stage in your career, from entry to senior level. We offer a robust benefit package, including the ADHS Student Loan Assistance Pilot Program, where eligible employees can receive up to $437.50 per month for their outstanding student loans. Come check us out and see how you can make a difference in the lives of all Arizonans.

Healthcare Compliance Surveyor

Division of Licensing/ Bureau of Long Term Care Facilities

Job Location:

Address:  150 N. 18th Ave. Phoenix, AZ 85007

Posting Details:

Salary: 52,134.78 

Grade: 21

Job Summary:

This position conducts on-site statewide, multi-faceted surveys, complaint investigations, evaluations for compliance with Federal Regulations for Social Security Act Title XVII and Title XIX Medicare and Medicaid facilities, and determines federal enforcement remedies. The incumbent will maintain a case load which requires complex scheduling; close coordination with providers and other agencies; and accurate and thorough documentation for public files.

Job Duties:

− Schedules and prioritizes assigned facility surveys to verify compliance with state licensing and Medicare certification standards and to protect the health, welfare and safety of consumers, clients, residents and/or patients based on state and CMS regulations
− Conducts complaint investigations of non-compliance with state and federal regulations
− Prepare reports demonstrating compliance and/or non-compliance related to complaint investigation for possible enforcement and data collection within established time lines. Also prepares statements of deficiency, field trip reports and other correspondence. Prepare quality rating for Skilled Nursing Facilities
− Confers with and provides technical assistance to owners, administrators, directors, providers, and/or staff regarding state licensing/certification requirements and corrections needed to attain compliance
− Recommend necessary actions against providers found to be non-compliant with state statutes and rules
− Recommend for or against Medicare and Medicaid certification, state licensure and enforcement actions, based on review of findings and acceptable plan of correction and follow-up inspection
− Serve as a resource for providers, public, other governmental agencies, ombudsmen and health care professionals, regarding Medicare/Medicaid certification and/or state licensure
− Serve as precept for new surveyors
− Testifies at administrative and judicial hearings as necessary
− Attend meetings; participate in in-service training and continuing education programs; performance improvement committees and work groups
− Accurately and timely preparation of Time and Effort reports

Knowledge, Skills & Abilities (KSAs):

− Arizona Revised Statutes and Arizona Administrative Code (rules), survey and investigation methods, workload management, policies and procedures applicable to state licensure and/or Medicare certification and operational policies and procedures of the department
− The American with Disabilities Act as it relates to health care facilities
− State and local standards for fire protection, sanitation, zoning and occupancy standards, building and zoning codes as they apply to health care facilities
− Enforcement options available to the department and legal document preparation, of organizational and corporate structures and management practices and procedures typically experienced/utilized in state licensed and CMS certified health care facilities
− Characteristics and identification of physical, sexual and emotional abuse
− Physical and behavioral signs of illness and disease including persons with special needs, growth and development stages
− Disease and the aging process
− How to provide and the purpose for/of, educational and activity programs, including the activities of daily living
− Nutrition, sanitation, dispensing of medications, disease control, restraints, both physical and psychotropic, and other life-sustaining standards
− Adult learning strategies utilized in the course of provider training
− Community resources, including other state agencies, advocacy groups, networking and provider associations
− Federal regulations, Medicare State Operations Manual, State Operations Manual Appendices, Interpretive Guidelines and State Agency letters
− Healthcare delivery models/practices including nursing, pharmacy, social services, infection control and dietary
− Oral and written communication and documentation
− Analyzing and evaluating a wide variety of administrative and program records to determine compliance with applicable state statutes and rules during surveys and complaint investigations.
− Interpersonal relations as applied to contacts with providers and staff, representative of local and state governmental agencies including Adult Protective Services, local police departments, Department of Economic Security, Public Health consumers, media and the public
− Educating and assisting providers on a variety of topics including those of discipline and abuse, development, records maintenance, supervision, safety, equipment standards, nutrition, sanitation, dispensing of medications, transportation, persons with special needs, the Americans with Disabilities Act, zoning and others
− Time management and organization to support compliance and investigation workloads and prioritize work activities based on CMS and department performance measures. Computer skills
− Receive detailed information through oral communication
− Work effectively in a team or independently. -Identify problems requiring immediate corrective action
− Determine recommendations to include in reports developed as a result of surveys and/or investigations conducted
− Make recommendations for initiating enforcement and/or enforcement actions against providers not in compliance with statutes and rules
− Make recommendations approving/denying/revoking a license, certification, for issuing cease and desist orders for non-compliant actions, assessment of civil money penalties; temporary orders, intermediate sanctions and provisional licenses
− Support a diverse multi-cultural workforce that reflects the community, promotes equal opportunity at all levels of public employment, and creates an inclusive work environment that enables all individuals to perform to their fullest potential free from discrimination

Selective Preference(s):

The ideal candidate will have:
− Preference will be given to candidates who possess a professional license to practice in the State of Arizona or proof of eligibility for reciprocity of an out-of-state license, i.e., Registered Nurse, Social Worker, Dietitian, Counselor, etc.
− Associates Degree in healthcare and two years’ experience in one of the following healthcare professions: Hospital Administrator; Industrial Hygienist; Laboratory or Medical Technologist, Bacteriologist, Microbiologist, or Chemist; Medical Record Librarian; Nurse; Nursing Home Administrator; Nutritionist; Pharmacist; Physical Therapist; Physician; Qualified Intellectual Disabilities Professional; Sanitarian; Social Worker; Behavioral Health Professional; or any other professional category used for health professional positions

Pre-Employment Requirements:

Driving is required for State Business.
- Employees who drive on state business require possession of and the ability to retain a current, valid state-issued driver’s license appropriate to the assignment. Employees who drive on state business are subject to driver’s license checks, must maintain acceptable driving records and must complete any driver training (See Arizona Administrative Code R2-10-207.11).

- Must possess a valid level one fingerprint clearance card issues pursuant to A.R.S. §36-113.

Benefits:

The State of Arizona provides an excellent comprehensive benefits package including:
− Affordable medical and dental insurance plans
− Paid vacation and sick time
− 10 paid holidays per year
− Wellness program and plans
− Life insurance
− Short/long-term disability insurance
− Defined retirement plan
− Award-winning Infant at Work program
− Credit union membership
− Transit subsidy
− ADHS Student Assistance Pilot Program

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

Retirement:

To help you build a financially secure future, the State makes monthly contributions to finance your retirement benefit. The State will make a contribution to the ASRS in an amount equal to your contribution. In other words, you and the State will each pay 50% of the total cost of the benefit. New State employees have a 27 week wait period for contributions to begin.

Contact Us:

Arizona State Government is an EOE/ADA Reasonable Accommodation Employer. Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by calling (602) 542-1085. Requests should be made as early as possible to allow sufficient time to arrange the accommodation. DHS is an Equal Employment Opportunity Employer. All newly hired employees will be subject to E-Verify Employment Eligibility Verification.

ARIZONA MANAGEMENT SYSTEM (AMS)

All Arizona state employees operate within the Arizona Management System (AMS), an intentional, results-driven approach for doing the work of state government whereby every employee reflects on performance, reduces waste, and commits to continuous improvement with sustainable progress.  Through AMS, every state employee seeks to understand customer needs, identify problems, improve processes, and measure results.  
State employees are highly engaged, collaborative and embrace a culture of public service.

Arizona State Government is an AA/EOE/ADA Reasonable Accommodation Employer.