Health Compliance Inspector Home Care RN (HP III) - HFEMSD

State of ColoradoDenver, CO
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 all air and ground ambulance services operating within the state of Colorado. This work unit exists to: (1) protect the health, safety, and welfare of patients/residents of health care facilities in the state of Colorado, by evaluating and securing compliance of licensed and certified facilities and providers, utilizing applicable federal and state laws/regulations and professional standards of practice; and (2) to provide to the public information on health care facilities. This position is staffed by professionals who work independently or as a member of an interdisciplinary team to assess the care, treatment and quality of life provided by various health facilities through observations, interviews, and record reviews. 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. Reviews self-reported occurrences and incidents of serious deficiencies and assesses whether certified and/or licensed health facilities intervened appropriately. Writes statements of deficiencies, identifying areas of noncompliance with federal and state requirements based on survey/investigation results. Acts as resource, educator, and interpreter of regulations for service providers and consumers, based upon established guidelines, policies and procedures.

Requirements

  • Must be a current resident of the State of Colorado.
  • Six (6) years of applicable health care in a facility or program regulated by the Health Facilities and Emergency Medical Services Division and a current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or any state participating in the Enhanced Nurse Licensure Compact (eNLC).
  • A combination of related education in Nursing, Public Health, Social Work, 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 and a current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or any state participating in the Enhanced Nurse Licensure Compact (eNLC) or in an occupation related to the work assigned equal to six (6) years.
  • Must maintain RN licensure.
  • 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).
  • Once employed in this position, must successfully complete and apply all required surveyor training (unless training is unavailable) within the first six (6) months of service.
  • Requires the use and operation of state fleet vehicles.

Nice To Haves

  • Relevant experience with the State of Colorado.
  • Clinical experience in acute care, specialized units, home health, hospice, or home care; PDN/vent-trach, wound care, high-risk meds, or transitions of care experience.
  • Experience evaluating quality of care, adverse events, incident reviews, and corrective action/POC validation.
  • Skilled in trauma-informed and stakeholder-appropriate interviewing (clients, families, staff, external practitioners).
  • Track record of clear regulatory narratives, evidence grids, and decision memos that withstand appeal or legal scrutiny.
  • Ability to interpret EMR reports, staffing/scheduling data, and quality indicators to target probes and corroborate findings.
  • Understands agency operations (governance, QAPI, supervision, delegation) and how they impact bedside outcomes.
  • Experience serving as a resource/educator to providers on regulatory expectations and sustainable remediation.

Responsibilities

  • On an unannounced basis, independently or as a member of an interdisciplinary team, 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.
  • 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.
  • Conducts pre-survey preparation activities for the survey team, including the selection of residents for inclusion in the survey sample.
  • Directs the team members regarding the survey/investigation plan to ensure all tasks are completed in accordance with established guidelines and protocols.
  • 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.
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