Complaints Investigator, Generalist (HP III), Complaints Section -HFEMSD

State of Colorado•Denver, CO

2d•Hybrid

About The Position

The Health Facilities and Emergency Medical Services Division (HFEMSD) is responsible for the oversight and enforcement of a broad range of federal and state statutes and regulations applicable to a wide variety of healthcare facilities and services in Colorado, including hospitals, clinics, ambulatory surgical facilities, renal dialysis centers, emergency medical services providers, designated and non-designated trauma centers, long term care facilities and many other specific types of healthcare services. The division licenses, certifies and surveys healthcare facilities and services; provides patient safety and healthcare quality programs; recognizes emergency medical service (EMS) education programs; certifies EMS providers and licenses air and ground ambulance services operating within the state. This work unit exists to (1) Protect and improve the health, safety, and welfare of patients and clients in health care agencies in the State of Colorado, by securing compliance of licensed and certified agencies and providers, utilizing applicable State laws and regulations, (2) to provide public information on health care agencies, and (3) to assure compliance with applicable laws, regulation codes and professional standards of practice. The purpose of this position is to assess the care, treatment, and quality of life provided by various health facilities. This position uses experience, training, and judgment in evaluating and applying statutes, regulations, guidelines, policies and procedures on a case-by-case, item-by-item basis for facility compliance/violation.

Requirements

Residency Requirement: This posting is only open to residents of the State of Colorado at the time of submitting your application.
Six (6) years of relevant experience in health care in a facility or program regulated by the Health Facilities and Emergency Medical Services Division, experience in healthcare regulatory compliance or surveying, or closely related experience.
OR A combination of related education Public Health, Social Work, Nursing, Healthcare Administration, Psychology, or closely related field, and/or relevant experience in health care in a facility or program regulated by the Health Facilities and Emergency Medical Services Division, experience in healthcare regulatory compliance or surveying, or closely related related to the work assigned equal to six (6) years.
Must substantiate that you meet the minimum qualifications when filling out the Work Experience section of the application.
Part-time work will be prorated when determining whether minimum qualifications are met.
Must be available in the event of an emergency, (e.g., bio-terrorist attack, chemical attack, disease outbreak or all hazards) and be required to report to work immediately at the regular or alternate location.
Must be available in the event of the activation of the Continuity of Operations Plan (COOP) and be required to report to work immediately at the regular or alternate location.
Must be able to lift and carry up to 40lbs. of equipment for extended periods of time.
Must be vaccinated against COVID19.
Must obtain an influenza shot annually prior to the onset of the flu season or wear a mask while on facility/agency premises.
Must be willing to work in environments where contagious diseases may be present.
Must be willing to perform annual fit testing for N-95 masks, as well as complete annual training on donning and doffing of personal protective equipment (PPE).
Must be willing to work occasional evening, night, weekend, or holidays depending upon circumstances of survey or complaint.
Requires the use and operation of state fleet vehicles.
Applicants must be legally authorized to work in the United States.

Nice To Haves

Excellent interpersonal and conflict management skills.
Experience assessing and evaluating health care facility quality of care, services, and treatment of the residents/patients.
Knowledge of acceptable practices involving patient/resident care.
Ability to analyze the evidence and survey results in order to determine whether and how the health care facility is out of compliance with applicable statutes and regulations.
Skill and ability to write clear, concise, and legally defensible statements of deficiencies based on analysis of the documented findings and extensive knowledge of laws, regulations and guidelines.
Experience advising health care facility providers, health care consumers, and other governmental agencies regarding regulatory requirements.

Responsibilities

On an unannounced basis, independently or as a member of an interdisciplinary team, it determines whether the entity is operating in compliance with applicable statutes/regulations.
Assesses and evaluates health care facility quality of care, services, and treatment of the residents/patients as well as facility practices through observations, record review, as well as interviews with residents/patients, family members, staff, and outside agencies and medical professionals.
Collects and documents evidence and survey results based upon observations, interviews and record review.
Writes clear, concise, and legally defensible statements of deficiencies based on analysis of the documented findings and extensive knowledge of these laws, regulations and guidelines as set forth in the Centers for Medicare and Medicaid Services (CMS) and State regulations, Principles of Documentation, and program specific protocols, policies and procedures, as applicable.
Attends meetings, serves on task forces or teams, completes projects, and performs other duties as assigned by the supervisor.

Benefits

Medical and dental plans.
Colorado PERA retirement options, including defined benefit plan or defined contribution plan.
Optional 401(K) and 457 retirement plans.
Employer-paid life insurance.
Short- and long-term disability coverage.
Potential flexible working arrangements
11 paid holidays per year and generous paid time off.
Free parking and access to RTD bus lines.
Tuition assistance.
Employee wellness programs.
Professional development opportunities.
Career opportunities throughout Colorado state government.
Some positions may qualify for the Public Service Loan Forgiveness Program.