Title: Medical Facilities Inspector Supervisor

State Role Title: Health Care Compliance Spec II

Hiring Range: $88,750 - $96,250

Pay Band: 5

Agency: Virginia Department of Health

Location: LICENSURE & CERTIFICATION OFF

Agency Website: www.vdh.virginia.gov

Recruitment Type: General Public - G

Job Duties

The Office of Licensure and Certification in Richmond, VA is seeking full-time Medical Facility Inspector Supervisor for the Tidewater region’s Acute Care Team and Virginia state Clinical Laboratory Improvement Amendments (CLIA) agency. This position will supervise survey teams that conduct onsite surveys/inspections and complaint investigations at acute care facilities and clinical laboratories. This position currently offers a sign-on bonus of $5,000 and 80 hours of front-loaded annual leave time with a one-year written agreement for external candidates. This position may require travel and overnight travel.

The Medical Facilities Inspector Supervisor for the Acute Care Team formally supervises inspectors/surveyors to ensure that inspections/surveys or reviews of health care facilities and laboratories are performed in accordance with state and federal regulations, and the Virginia State Clinical Laboratory Improvement Amendments (CLIA) Agency. May conduct inspections and investigations directly, as needed. Characteristic activities include supervises inspections/survey teams, team survey activities, prepares inspector work schedules, reviews inspection/survey reports, address regulations and survey process questions for provider applicants, verifies applications meet regulatory requirements, manages database reflecting changes in licensed and certified health care facilities as well as provides technical assistance to providers, perform quality activities and staff training.

The acute care facilities include hospitals, ambulatory surgery centers, outpatient physical therapy, end-stage renal disease facilities, and laboratories. Laboratories are any facility that examines human specimens for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of the health of, human beings. The objective of CLIA is to ensure quality laboratory testing and state agencies are tasked with enforcing CLIA standards. This list is not all inclusive. Travel is required throughout the state of Virginia and can be extensive at times (3-4 days per week).

Performance Management
• Holds staff meetings or in-service training programs to keep staff informed and receive feedback on inspection/survey activities
• Periodically meets with staff members to provide technical assistance, answer questions or resolve problems
• Conducts performance evaluations
• Submits performance evaluations to supervisor for review prior to established deadline

Work Assignments/Schedules
• Establishes accurate reoccurring schedule and work assignment plans
Confirmation of Inspection/Survey Packages
• Reviews inspector's reports and facility's plan of correction for accuracy, completeness, and timeliness
• Responsible for a critical analysis of non-routine reports to include complaint investigations and inspections/surveys that result in potential adverse action due to immediate and serious threat to the health and safety of patients
• Assures that Medicare/Medicaid requirements and State licensure regulations have been applied accurately and consistently

Inspection/Survey Oversight & Regulatory Compliance
• May observe, conduct and/or participate in onsite inspections/surveys as required
• Provides technical assistance to certification applicants that is timely and accurate

Other Duties
• May be required to perform other duties; may include functions in support of an emergency declaration
• May be required to adjust work hours, location and job duties and participate in training to meet public health business needs.
• Data management
• Quality activities
• Staff training and education

Minimum Qualifications

• Ability to communicate orally and in writing in articulate and legally defensible manner
• Knowledge of quality-of-care issues, health care operations, management and service delivery systems
• Ability to interpret and consistently apply laws and regulations and understand consequence of violations
• Management skills in planning, analysis, scheduling, team building and providing customer services
• General knowledge of MS Office Suite
• Ability to supervise a diverse workforce, which may be dispersed throughout the state in home-based offices
• If working in LTC and/or Complaint unit, must obtain SMQT Certification within 12 months of hire date. All MFI’s must obtain medical clearance for fit testing in accordance with OSHA Respiratory Protection Standard (29 CFR 1910.134) [Ref.2] within 90 days of hire date and annually except for Complaint Unit.

Additional Considerations

• Prior Medical Facilities Inspector (MFI) experience
• Knowledge of healthcare compliance regulations
• Prior supervisory experience
• Experience in laboratory testing.
• Advanced degree in Laboratory Science

Special Instructions

You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.

VDH accepts only on-line applications. Faxed, mailed, or e-mailed applications will not be considered. Applications are accepted until 11:55 p.m. on the job closing date. Applications and/or resumes should include relevant work history which indicates your qualifications for this position. Supplemental questions are encouraged to be answered in a comprehensive manner and reference any pertinent knowledge, skills, and abilities as well as any previous experience that relates to the position.

Employment is contingent upon satisfactory results of a state and federal criminal history background check and the Department of Social Service’s Child Abuse and Neglect Central Registry check, U.S. HHSIG Exclusion List check, employment reference check and E-Verify. Other financial, credit, driving, background checks or completion of Statement of Economic Interests may be required for certain positions.

It is the policy of the Commonwealth and VDH that all aspects of human resource management be conducted without regard to race (or traits historically associated with race including hair texture, hair type, and protective hairstyles such as braids, locks, and twists); sex; color; national origin; religion; sexual orientation; gender identity or expression; age; veteran status; political affiliation; disability; genetic information; and pregnancy, childbirth, or related medical conditions. VDH employees have a shared Code of Ethics, which can be found in the bottom banner of our website: www.vdh.virginia.gov.

If you have been affected by DHRM Policy 1.30 layoff and possess a valid Interagency Placement Screening Form (Yellow Card) or a Preferential Hiring Form (Blue Card), you must submit the card before the closing date for this position. The Card may be submitted with the state application as an attachment.

As a V3 (Virginia Values Veterans) employer VDH Welcomes Veterans to apply!

Contact Information

Name: Beshaun Judkins

Phone: N/A

Email: beshaun.judkins@vdh.virginia.gov

In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.