An incumbent in this class oversees the inspection and survey activities of all licensed and certified health care facilities in the State.
Supervises a staff of approximately 25 Compliance Nurses, Nutritionists, Physical Therapists, Environmental Health Specialists, Pharmacists and Laboratory Compliance Specialists through 3 subordinate supervisors.
Nature and Scope
The class incumbent reports to the Health Facilities Licensing and Certification Officer and is responsible for ensuring that all inspections and surveys of health care facilities are conducted in accordance with policies and procedures established by the Health Care Financing Administration (HFCA) and State Board of Health regulations. Work involves coordinating surveys and inspections conducted by agency staff of health care providers such as hospitals, skilled nursing facilities, home health agencies, renal dialysis facilities, clinical laboratories and mammography centers to ensure regulations covering areas such as nursing services, environmental health, laboratory and radiological equipment, patient nutrition and pharmacy services are enforced. The class incumbent is also responsible for ensuring consistent application of applicable standards through review of survey results and conducting staff training for all program areas. The class incumbent functions as the agency's technical expert for the interpretation of federal/state program regulations and before courts of law, administrative boards and during appeals.
Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here.
Oversees all inspections and surveys and reviews results to insure consistent application and interpretation of regulations and compliance with federal and state regulations, office policies and procedures.
Provides technical assistance and interpretation of program regulations in all areas; Responds to inquiries from the public, health care providers, and state officials. Provides expert testimony before courts of law, boards, and commissions.
Provides ongoing training in all program areas to insure that staff is kept current on regulatory revisions and new policies and procedures.
Recommends termination of provider's participation in the Medicare and Medicaid programs, revocation of licenses and imposition of various penalties for providers who are out of compliance or fail to provide quality care.
Administers the Nurses Aide Competency Evaluation Program and Nurses Aide Registry Program. Ensures Aids are registered and certified as required by federal and State regulations.
Conducts studies and analyses of program problem areas, complaints, inquiries, and emerging issues and recommends appropriate action as required.
Knowledge, Skills and Abilities
The intent of the listed knowledge, skills and abilities is to give a general indication of the core requirements for all positions in the class series; therefore, the KSA’s listed are not exhaustive or necessarily inclusive of the requirements of every position in the class.
Knowledge of applicable federal and state laws, rules and regulations governing the licensing and certification of health care facilities and clinical laboratories.
Knowledge of the principles and practices of supervision.
Ability to interpret and explain applicable laws, rules and regulations.
Ability to plan, assign, review and evaluate the work of staff.
Ability to analyze data and draw sound conclusions.
Ability to identify problems and implement corrective action.
Ability to conduct training and provide technical assistance to staff and providers.
Ability to establish and maintain effective working relationships with providers, federal and state officials, and the public.
Ability to communicate effectively both orally and in writing.
Ability to prepare reports.
JOB REQUIREMENTS for Health Facility Certification Administrator
Applicants must have education, training and/or experience demonstrating competence in each of the following areas:
Three years experience in quality improvement which includes evaluating the quality of services, identifying problems and needs and recommending corrective action and improvements to ensure optimum service delivery, goals and objectives are met and ensure compliance with applicable laws, rules, regulations and standards.
Three years experience in ensuring compliance with regulatory and accreditation standards for health care facilities.
Six months experience in budget development which includes analyzing financial data and making long and short range plans and projections.
Six months experience in staff supervision of two or more employees which includes to plan, assign, review, discipline, recommend hire, promotion, termination and administer performance plans and reviews.
Knowledge of writing and defending proposed legislation and regulations.