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Compliance Officer 1 - RN/ Nurse
AZDHS - Arizona Department of Health Services     Phoenix, AZ 85007
 Posted 25 days    

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.

Essential Duties and Responsibilities include but are not limited to:

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. Will also prioritize, investigate, and resolve long-term care facility complaints and self- reports.
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 of:

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
Skill in:

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
Ability to:

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

The ideal candidate for this position 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.
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

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Job Details


Seniority Level

Entry (non-student)

Industry

Government & Public Administration

Employment Type

Full Time

Number of openings

4

Salary

$57,750.00 Annual


Related Skills:



How to Apply

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