License and Permit Spec IV

TX-HHSC-DSHS-DFPS•Austin, TX

12d•Hybrid

About The Position

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage. Under the limited supervision of the unit manager. Serves as a support for management functions in process expertise, team leadership for licensing staff. Represents business unit on behalf of the manager and performs highly complex (senior level) consultative, licensure, certification, and program management work. Acts as liaison between internal and external stakeholders and business units such as Survey Operations, Policy Rules and Training, Enforcement, Accounting and Legal as well as external stakeholders such as CMS, providers, attorneys, associations, local fire and health authorities, and consultants. Coordinates and provides technical assistance when issues are escalated beyond licensure staff. Collects, organizes and analyzes unit workflow and performance reports for processing licensure applications to identify business operation efficiencies and prioritizes workloads. Oversees, reviews, and regularly revises process manuals and provides guidance and training to unit staff on new methods, rule changes, and procedural changes. Conducts quality control on license forms from applicants and providers. Review and evaluate complex applications/forms/requests for providers who are applying for licensure, Medicaid and Medicare certification. Review, process, and determine facilities eligibility by reviewing applications. The LTCR area prohibits outside employment with any entity that HHSC regulates and or contracts with.

Requirements

Current Regulatory Experience.
Knowledge of local, state, and federal laws and practices related to the regulatory program area.
Experience with Microsoft office products; skill in communicating effectively, verbally, and in writing, with all levels of staff, as well as the ability to establish and maintain effective working relationships.
Ability to analyze and operationalize information into policies and procedures as needed and ability to develop, evaluate, and conduct research.
Experience gathering statistics, analyzing information and indentifying trends.
Graduation from a two-year college or equivalent is generally preferred.
Experience and education may be substituted for one another on a year-for-year basis.
Experience developing/interpreting policies, rules, standards, or regulations required.
Experience in providing detailed written information to individuals or entities and experience in working in or with teams
Experience in providing training and technical assistance to individuals.

Nice To Haves

Knowledge of assisted living, intermediate care and prescribed pediatric extended care center licensure rules and regulations preferred.
Experience with TULIP, ASPEN, and other internal databases is preferred

Responsibilities

Team Lead: Serves as a Team Lead in assigning and prioritizing workload.
Represents business unit as a subject matter expert and serves as backup to the unit manager as needed.
Reviews, recommends, develops, and evaluates policies and procedures to ensure consistency of licensing and certification processes.
Quality Improvement: Performs quality assurance of applications and provides guidance to staff.
Coordinates with Data Management staff to develop and modify workload reports to ensure continuous quality improvement and efficiency of unit’s licensure processes by analyzing data and trends.
Identifies backlogs and monitors processes and systems for effectiveness, efficiency and conformance to established guidelines.
Training: Provides orientation and training to new and current staff to increase consistency with application of policy and procedures.
Application Processing: Conducts complex review of licensure application and supporting documentation and assigns deficiencies for program applications.
Drafts, edits, tracks and evaluates deficiency letters and responses.
Reviews and evaluates forms, fee payments, technical data, and associated records related to licensure applications for accuracy and completeness.
Coordinates license and survey processes with HHSC regional offices.
Reviews and interprets on-site survey findings to determine if applicants are in compliance with program health and safety license eligibility requirements.
Based on review and evaluation, makes final determination to approve or deny license applications.
Issues state licenses.
Certification Processing: Conducts quality review of Medicare enrollment forms submitted by applicants for accuracy and completeness.
Works with intermediates to providers seeking enrollment in the Medicare program.
Prepares certification documents and submits actions for approval by CMS.
Reviews accreditation documentation, as required.
Database Management: Ensures critical information into various systems to facility licensure.
Maintains and updates application and license data in the Texas Unified Licensure Information Portal (TULIP).
Customer Service: Interprets and communicates licensing requirements to internal and external stakeholders, orally and in writing.
Provides highly complex technical assistance and consultation regarding program requirements and resolves customer concerns.
Provides rule and policy interpretation to applicants, their representatives, and the general public.
Provides oral and written customer service, answers program rule and policy questions, and provides information relative to the licensure and processing.
Performs unit telephone coverage through the provider licensure and certification call center.
Court Testimony: Testify in court related to the licensure and certification process as needed.
Other Duties as Assigned: Performs other duties as assigned in order to ensure services are provided.
Willingly completes other duties as assigned within time frames and minimum standards established by supervisor at the time of the assignments.
Obtains supervisor clarification and assistance as needed to complete task.

Benefits

comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more

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