What are the responsibilities and job description for the Compliance Specialist 2, Personal Care Home Unit (00081441) position at Georgia Department of Community Health?
The Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead agency for Medicaid, oversees the State Health Benefit Plan (SHBP) and Healthcare Facility Regulation, impacting one in four Georgians.
Through effective planning, purchasing and oversight, DCH provides access to affordable, quality health care to millions of Georgians, including some of the state's most vulnerable and under-served populations. Six enterprise offices support the work of the agency’s three program divisions. DCH employees are based in Atlanta, Cordele and across the state.
DCH is committed to providing superior Customer Service and Communication, embracing Teamwork and fostering Accountability to ensure that our internal and external customers and stakeholders feel included, respected, engaged and secure.
The Compliance Specialist 2, PCH Unit, under general supervision, may plan, organize, or coordinate the activities of an assigned program. This position reviews, monitors, and ensures compliance with assigned program area's policies and procedures. This position also conducts on-site reviews, audits or surveys of clinical and treatment facilities, regulated entity operations and program management.
- Conducts surveys to determine compliance with applicable state and/or federal rules and regulations for the Personal Care Home Program.
- Monitors, tracks, and maintains records on compliance.
- Plans and evaluates outcome studies and/or compliance findings.
- Plans, develops, schedules, and implements surveys and complaint investigations for licensure or certification of regulated facilities.
- Performs investigations and/or audits according to established rules, regulations, and other statutes. Plans and organizes the survey according to facility’s services, size, and compliance history.
- Gathers data to determine compliance with regulations through on-site interviews with facility staff and/or clients, observation and inspection of facility, and review of applicable records.
- Compiles report of finding and deficiencies with appropriate evidence to support deficiencies cited. Notifies facility of findings and make recommendations for adverse action if appropriate.
- Reviews and monitors facility’s plan of correction to determine compliance with the regulations and timeliness of correction.
- Focuses survey in response to the priority of client’s needs and/or complaints, and as findings emerge, and changes survey focus accordingly.
- Coordinates activities with appropriate state agencies.
- Acts as preceptor providing training and guidance to newly hired surveyors.
- Represents the Department in defending adverse action brought against facilities in non-compliance with the regulations.
- Other duties as assigned.
Note: Some positions may require a certification or licensure.
Preference will be given to candidates, who have a healthcare background and in addition to meeting the qualifications listed above, possess the following:
- Certification(s) and/or Degree in one or more related fields
- Experience working in the field of Personal Care Home.
- Experience as a Registered Nurse/LPN, or licensed professional in a healthcare setting
- Experience in utilization review and/or quality assurance in a healthcare setting.
- Experience in conducting assessments and evaluations based on regulations, legal requirements and/or recognized accreditation standards.
- Experience in coordinating and working with stage agencies regarding the relocation of displaced residents/participants associated with unlicensed facilities.
- Experience with reviewing and completing inspection reports for judicial appointments and/or hearings as assigned.
- Experience working with management team to impose adverse action against healthcare facilities or individuals who have violated rules and regulations.
- Skills used to interpret medical and health related issues associated with care plans, medical reports, prescribed medication, and health maintenance.
- Experience in performing investigations and audits related to allegations that consist of gathering the appropriate information, working with other state agencies, conducting interviews, and documenting findings within the timeframe outlined by the department.
- Demonstrated ability to produce high quality documentation with attention to detail.
- Strong investigative reporting and report writing skills.
EARN MORE THAN A SALARY! In addition to a competitive salary, the Georgia Department of Community Health offers a generous benefits package, which includes employee retirement plan; paid holidays annually; vacation and sick leave; health, dental, vision, legal, disability, accidental death and dismemberment, health and child care spending account.
Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered, but may not necessarily receive an interview. Selected applicants will be contacted by the hiring agency for next steps in the selection process. Applicants who are not selected will not receive notification.
THIS POSITION IS SUBJECT TO CLOSE AT ANY TIME ONCE A SATISFACTORY APPLICANT POOL HAS BEEN IDENTIFIED. APPLICATIONS WITHOUT WORK EXPERIENCE LISTED WILL NOT BE CONSIDERED. CURRENT GEORGIA STATE GOVERNMENT EMPLOYEES WILL BE SUBJECT TO STATE PERSONNEL BOARD (SPB) RULE PROVISIONS. THE POSITION MAY BE FILLED AT A LOWER OR HIGHER POSITION LEVEL.
This position is unclassified and employment is at-will. Candidates for this position are subject to a pre-employment background history and reference check.
For more information about this job and other career opportunities with DCH, please visit our Careers Page: https://www.governmentjobs.com/careers/dchga.
Salary : $61,280
