Healthcare Compliance Manager
Address:
150 North 18th Avenue
Phoenix, Arizona 85007
Salary: 77,000
Grade: 23
Closing Date:
Supervise and direct the activities of a team of surveyors who conduct licensure surveys and complaint investigations. Develop Staff member goals and assess performance, mentor new staff, and coach Individual team members as needed. Review reports (Statement of deficiencies) and recommendations developed by staff to ensure content is complete, accurate, consistent, and within established timelines. Supervise and accompany surveyors on inspections of considerable difficulty for healthcare facilities including state & federally funded programs. Conduct, supervise & accompany surveyors on Investigations of considerable difficulty regarding all complaints of rule or statute violations, including physical, sexual, and emotional abuse of consumers, clients, residents and/or patients in healthcare facilities conducting joint investigations with local law enforcement agencies and Adult Protective Services as necessary and conducting investigations of individuals or facilities providing unlicensed care. Provides training and technical assistance to facility owners, directors, administrators, managers, providers and/or staff. Work as a team member with the quality management system to monitor and improve work processes. Evaluate survey findings for enforcement action based on the enforcement policy and procedure perform Informal dispute resolution reviews and participate in legal hearings.
Review individual, or coordinate the final review of the team's findings and documents, and the preparation of state licensing and Medicare/Medicaid certifications. Ensure all forms and documents are accurately completed within the required time frames and that the findings are enforceable.
Recommend for or against Medicare and Medicaid certification and state licensure. Compose statements of deficiencies, cease and desist orders, stipulations, and other types of legal orders.
Supervises and directs a group or team of surveyors who conduct inspections and/or evaluations of healthcare facilities.
Serve as a resource for providers, public, other governmental agencies, ombudsmen, and health care professionals regarding Medicare/Medicaid certification and/or state licensure. Accurately and timely reviews staff Time and Effort Reports to ensure appropriate allotment of federal budget monies for the HCFA.
Testifies at administrative and judicial hearings as necessary. Composes information to be used for medical relations for complex complaint investigations and surveys. Participates in performance Improvement committees and work groups. Attend meetings, and participate in in-service training and continuing education programs.
Tour and inspect facilities to verify that adequate records are maintained and that the health, welfare, and safety of clients are being maintained; evaluate and determine compliance with state licensing & Medicare certification stands. Conducts complex/high-profile complaint investigations & surveys. Confers with and advises administrators and staff of facilities regarding areas not in compliance with state standards; conducts entrance and exit conferences with administrators and staff of facilities. Other duties as assigned as related to the position.
Knowledge, Skills & Abilities (KSAs): |
Knowledge of:
- Arizona Revised Statutes and Administrative Rules.
- Inspection and investigation methods, caseload management, policies and procedures
applicable to state licensure and/or state certification, and operational policies and procedures.
- Basic knowledge of the Americans with Disabilities Act as it relates to healthcare facilities.
- State and local standards for fire protection, sanitation, zoning, and occupancy standards.
- Nutrition, sanitation, dispensing of medications, disease control, restraints both physical and psychotropic, and other life-sustaining standards.
- Performance Management (PM), Continuous Quality Improvement (CQI), and Lean methodologies.
Skill in:
- Oral and written communication and documentation, including the ability to receive detailed information through oral communication.
- Analyzing and evaluating a wide variety of administrative and program records to ensure compliance with applicable state statutes and rules during inspections and complaint investigations.
- Observation and evaluation of signs of neglect or violation of standards with regards
to consumers, clients, residents and/or patients, facilities, and providers, including serious and immediate decision-making for life-threatening situations during inspections and complaint investigations.
- Problem-solving, including identification, evaluation, action initiation, follow-up, and evaluation.
- Writing legal documents for enforcement actions and internal dispute resolutions.
Ability to:
- Work effectively within a team environment or independently.
- Travel with overnight trips required.
- Support a diverse multicultural 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.
Bachelor's degree in Nursing, Health Services Admin., Public Health Sanitation, Registered Dietitian, or related field and 3 years of professional experience in health care or health-related field to include 2 years of professional level experience in one or more of the types of health care facilities, preferably those being regulated. Registered Nurse Preferred.
Pre-Employment Requirements: |
Bachelor's degree in Nursing, Health Services Admin., Public Health Sanitation, Registered Dietitian, or related field and 3 years of professional experience in health care or health-related field to include 2 years of professional level experience in one or more of the types of health care facilities, preferably those being regulated. Registered Nurse Preferred.
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).
The State of Arizona provides an excellent comprehensive benefits package including:
− Affordable medical and dental insurance plans
− Paid vacation and sick time
− Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
− 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
Learn more about the Paid Parental Leave pilot program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page
To help you build a financially secure future, the State makes monthly contributions to finance your retirement benefit. The State will contribute 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.
The State of Arizona is an Equal Opportunity/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.