Compliance Reviewer

This position’s headquarters can be located in any available HHSC LTCR office in the state of Texas and reports to the Quality Assurance Regional Program Manager.
Under the supervision of the Quality Assurance Regional Programs (QARP) Manager, the QARP Compliance Reviewer (CR) reviews certification and licensure forms that resulted from a deficient practice for the Life Safety Code (LSC) Programs: (Intermediate Care Facilities (ICF), Assisted Living Facilities (ALF), Skilled Nursing Facilities/Nursing Facilities (SNF/NF), Day Activity and Health Services (DAHS), and Prescribed Pediatric Extended Care Centers (PPECC)). The QARP CR for LSC participates in review committees and teams, prepares data for review and analysis, and assists in identifying regional trends and patterns.
Performs advanced technical and professional reviews of certification surveys, licensure inspections, and investigations conducted in long term care facilities to determine compliance with state/federal requirements and protocols, and Long-Term Care-Regulatory (LTCR) policies and procedures. Transforms qualitative data into quantitative data and assists with in-depth analysis of qualitative and quantitative program-specific data. Interprets statistical evidence and develops work plans, reports, and documentary support for program development and assessment.

Essential Job Functions:
Performs advanced technical and professional reviews of survey forms to ensure appropriateness and completeness based on the Principles of Documentation (PoD), The Centers for Medicaid and Medicare Services (CMS), State Operations Manual (SOM), compliance with state/federal regulations (to include the National Fire Protection Association codes and standards), and Long-term Care-Regulatory policies and procedures. Consults with regional surveyors, program managers, and other regional staff to clarify any discrepancies and works with the regional staff to recommend appropriate corrections. Assists in compiling of data to show trends resulting from the QA review process. Provides ongoing education, both onsite and virtually, to surveyors and regional management. Maintains professional and technical knowledge for LTCR programs. Excellent communication skills including the ability to manage self remotely. Maintains a regular and predictable work schedule.

Knowledge Skills Abilities:
Knowledge of NFPA (National Fire Protection Association) 101, 2012 Edition. Knowledge with NFPA (National Fire Protection Association) 70, 2011, NFPA 25, 2011, NFPA 72. 2010, NFPA 99, 2012, NFPA 110, 2010, and NFPA 13, 2010(including 13R and 13D). Knowledge of any specialized program area in Long-term Care Regulatory. Knowledge of the principles and methods of field inspection, investigation, or quality control from any program area (Life Safety Code (LSC) Programs: Intermediate Care Facilities (ICF), Assisted Living Facilities (ALF), Skilled Nursing Facilities/Nursing Facilities (SNF/NF), Day Activity and Health Services (DAHS), and Prescribed Pediatric Extended Care Centers (PPECC). Knowledge of NFPA required. Skilled in conducting investigations and determining proper courses of action. Skill in using Microsoft Office software: Word, Excel, and Outlook. Ability to work in a professional team environment; Ability to organize workloads and set priorities to meet deadlines and function with minimal supervision; Ability to prepare concise reports.

Registration or Licensure Requirements:
Life Safety Code Certified Preferred. NFPA (National Fire Protection Association) Certified Fire Inspector 1 preferred. Registration or licensure in a health care related field with experience in LTC preferred.

Initial Selection Criteria:
Experience in any Long-Term Care Regulatory program such as Home Health, ICF/IID, Health Facilities, PPECC, or Assisted Living Facilities.Experience with NFPA (National Fire Protection Association) 101, 2012 Edition. Experience with NFPA 70, 2011, NFPA 25, 2011, NFPA 72. 2010, NFPA 99, 2012, NFPA 110, 2010, and NFPA 13, 2010(including 13R and 13D). Bachelor’s Degree preferred.

Additional Information:
Applicant must reveal if he or she has had an action against his or her license. All applicants must pass fingerprint criminal background check. Must be able to work hours other than 8 AM to 5 PM, Monday through Friday, or as necessary. Ability to travel up to 45% for activities such as out-of-town meetings, training sessions, or conduct survey activities if needed. Required to complete 80 hours of field work annually.

MOS Code:
Note: There are no direct military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position. All active duty, reservists, guardsmen, and veterans are encouraged to apply. For more information see the Texas State Auditor’s Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx.
HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.
In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.