Health Facilities Inspector 2

State of Nevada•Northern Nevada, NV

2d•Hybrid

About The Position

The Nevada Health Authority, Bureau of Health Care Quality and Compliance (HCQC), has a vacancy for a Health Facility Inspector for Medical Laboratories in our northern offices. Health Facility Inspectors conduct on-site or off-site, as applicable, state licensure and complaint inspections of laboratories throughout Nevada, alone or as part of a team. These include different types of laboratories such as exempt, registered and licensed laboratories, that are licensed and/or certified by HCQC. Evaluate compliance with standards, state and federal statutes and regulations through the inspection process utilizing record review, interviews and observations. Complete all required inspection activity documents in accordance with regulations, statutes and policies and procedures, as applicable. Complete the follow up documents to finish the formal inspection report process. Serve as a resource for and provide information and education to advisory committees, community members (consumers), laboratory personnel, to improve quality of care and services, and assure regulatory compliance. Establish and maintain an effective working relationship and positive communication with a variety of individuals and groups as well as collaboration with sister state agencies and departments. For purposes of initial licensing or ongoing regulatory compliance, Health Facilities Inspectors conduct inspections of health care facilities and services such as hospitals, skilled nursing facilities, inmate medical care in prisons and transitional living facilities, intermediate care facilities, home health agencies, health care referral agencies, community triage centers, facilities for refractive laser surgery, ambulatory surgical centers, facilities for treatment of irreversible renal disease, medical laboratories, independent physician offices, rural health clinics, hospices, comprehensive outpatient rehabilitative facilities, outpatient physical therapy facilities, adult day care and group care facilities, alcohol and drug abuse treatment centers and half-way houses, obstetrical centers, independent centers for emergency medical care, rehabilitation clinics, occupational and physical therapists, and other facilities and practitioners as directed. Examples of areas for inspection include health care services; policies and procedures regarding admission, discharge, and resident rights; and life safety code compliance.

Requirements

Bachelor's degree from an accredited college or university in public health, health care or business administration, the medical or biological sciences, criminal justice, or a specialty field identified for the specific recruitment such as dietetics, facilities construction and maintenance, finance or accounting, medical technology, social work or social science, and two years of professional experience as an inspector or surveyor in a health-related accrediting organization or in a federal or State regulatory compliance program which involved the inspection, licensing, or complaint investigation of health care or child care facilities to determine compliance with federal or state laws and regulations; OR Bachelor's degree in one of the above disciplines and two years of professional health administration experience, including supervisory, administrative, inspection or regulatory responsibilities; OR two years of professional experience in the specialty area related to the position; OR one year of experience as a Health Facilities Inspector 1 or Child Care Facilities Surveyor in Nevada State service; OR an equivalent combination of education and experience as described above.
Working knowledge of: regulatory and compliance processes; interpersonal relationships and team building techniques; principles of health care delivery systems.
General knowledge of: basic human anatomy and physiology.
Ability to: identify areas of noncompliance with regulations; produce clear, concise, accurate and well-organized documents and reports pertaining to observations and facts from inspections, with correct grammar and suitability for legal and administrative proceedings; provide guidance to new Inspectors and inform providers and the public about inspection procedures and requirements; identify and secure information necessary to conduct a thorough review; make independent decisions based on professional judgment; respond appropriately in hostile situations; recognize obvious indications of patient/resident illness or abnormality; evaluate laboratory proficiency to ensure accuracy of results; identify possible abuse, neglect, or misappropriation of property of recipients of health care.

Responsibilities

Conduct inspections of assigned facilities independently or as part of a multi-disciplinary or multi-agency team through review of records, interviews, and observations to evaluate compliance with federal and/or State laws and regulations pertaining to licensure, permitting, certification, Medicare and/or Medicaid.
Inspect laboratory services including independent reference laboratories, physician office laboratories, and locations where testing is performed; review the qualifications of laboratory directors and other personnel; evaluate compliance with federal and State requirements for laboratories including the Clinical Laboratory Improvement Amendments (CLIA) administered by the Centers for Medicare & Medicaid Services (CMS); conduct complaint investigations.
Participate in initial meetings with facility owners, administrators, professional staff, legal representatives and/or consultants to explain the inspection process and statutory and regulatory requirements, solicit cooperation, and obtain access to the information needed to complete the inspection.
Review facility policies and procedures, quality assurance programs, patient medical records, and infection control measures to determine whether medical care and dietary and social services are being provided in accordance with applicable standards, physicians’ orders, treatment plans, and assessments of residents’ mental and physical condition.
Review facility profit and loss and other financial statements, operational records, resident agreements and related documents to ensure quality business practices in areas such as contracts, admissions, trust accounts, general ledgers, accounts payable and accounts receivable.
Inspect the physical plant by touring the facility, verifying room and bed numbers and reconciling with license applications and architectural drawings; note deficiencies in applying construction standards; evaluate environmental conditions relating to safety and sanitation; review fire and other emergency plans.
Review architectural drawings/plans to ensure compliance with State construction standards for facilities and life safety code standards; communicate final determinations to facilities and contractors.
Summarize findings, including identification of violations, for presentation to the facility administrator during the exit interview; prepare a formal report detailing the results of the inspection; make recommendations to CMS concerning continued certification status; recommend enforcement actions and assist in the preparation of sanction notices and related documents.
Review and approve facility plans for correcting deficiencies; conduct informal dispute resolution meetings and review allegations or findings of noncompliance; coordinate joint inspections or meetings and collaborate with other regulatory or advocacy agencies for the protection of public health and safety.
Investigate and resolve complaints against facilities by determining whether a problem exists, responding to the complainant, and taking or recommending appropriate action.
Provide information to health care administrators and personnel and assist them in interpreting and meeting federal and State regulations and statutes; prepare and conduct formal provider training seminars on regulatory issues and new techniques for provision of medical and infection control services.
Perform related duties as assigned.