Manager of Survey

State of Oklahoma

3d • $95,000 • Onsite

About The Position

This position is to manage the daily and monthly operations of multiple regions of the program which conducts surveys, inspections and investigations under Oklahoma licensure and federal Medicare and Medicaid requirements for nursing facilities, skilled nursing facilities, intermediate care facilities for individuals with intellectual disabilities, assisted living centers, residential care homes, continuum of care facilities, and adult day care centers. The major objective is to ensure that resources are effectively arrayed across the multiple regions in order to comply with public health imperatives, namely mandates relating to inspections, investigations and surveys, in order to protect the health, welfare and safety of frail, elderly and vulnerable residents in long-term care facilities. This position also has a role in championing quality assurance and performance improvements projects directed at enhancing both the OSDH process and quality of care and life for residents of nursing facilities. This position leads focused quality improvement projects with multiple external state holders and partners in order to drive measurable improvements.

Requirements

• Possession of a valid permanent Oklahoma RN license as approved by the Oklahoma Board of Nursing to practice professional nursing; AND
• A master’s degree and 6 years of professional experience, or a bachelor’s degree and 8 years of professional experience, substituting the completion of a post baccalaureate degree for one year only of the required experience; AND six (6) years of professional supervisory and managerial experience.
• Applicants must successfully complete all training (Federal/State) for Nursing Facilities, including the successful completion of Surveyor Minimum Qualification Training (SMQT) within one year of hire date.
• Knowledge of the principles, practices, and ethics for the incumbent’s licensed or registered professional status; of administrative and organizational principles and practices regarding health care facility operations; of the principles of interviewing; and of word processing software applications and computer operations.
• Ability is required to read and understand statutory and regulatory language; of state legislation related to assigned agency programs; to establish and maintain effective working relationships; to exercise good judgment in evaluating situations and choosing an appropriate course of action; to interpret and analyze survey findings against statutory and regulatory requirements; to make decisions; and to organize and communicate findings, both orally and in writing, in a logical, clear, concise, and complete manner.
• Knowledge of federal and state laws, regulations, and policies regarding licensure and certification of health care facilities; of what constitutes immediacy of threat to a client; and of the requirements for determining culpability of a facility.
• Ability is required to observe, document, analyze, and evaluate the provision of care against the applicable standards of practice, statue, and regulation; to employ the principles and methods of conducting interviews using memory retrieval methods; to interview residents/patients/clients with diminished mental capacity, developmental disabilities, and/or acute and chronic medical conditions; to gather and present findings within a hostile facility environment while maintaining professional tone and demeanor; to analyze non-verbal and verbal communications to determine if an interview subject is omitting information or is being deceptive, and employ techniques for identifying omissions and deception in written statement; and to distinguish between the potential for harm and the potential for serious harm.
• Knowledge of residents/patients/clients relocation protocols.
• Ability is required to facilitate the relocation of residents/patients/clients; to independently perform facility investigations; to provide individual instruction, encouragement, and guidance to surveyors; and to lead a team of surveyors in the conduct of a facility survey.
• Knowledge of supervisory principles and practices; of performance appraisal policies and procedures; of agency leave and time accounting policies; and of agency progressive discipline policy.
• Ability is required to supervise professional personnel; to provide educational training to licensed or registered health care professionals within the employee’s licensed or registered field of specialty; and to schedule surveys for all subordinate staff.

Nice To Haves

• Surveyor Minimum Qualifications Test (SMQT) certification.

Responsibilities

• Manages a major agency unit, section, division or program; directs or health surveyor supervisors to ensure the completion of assigned functions and activities.
• Responsible for managing multiple survey actions in order to meet quarterly, biannual, and yearly performance standards under state and federal laws and rules for long-term care facilities.
• Responsible for immediate and long-range program development; advises subordinate program staff and other interested groups of the proper interpretation and application of agency rules and policies; This position largely delegates the completion of inspections to the regional survey managers; tracking survey activity of about 50 plus surveyors.
• Monitors and ensures all survey deadlines are met.
• Must be able to identify the regulatory concern, if any, and determine the scope and severity the citation should be given.
• Provides support to the LTC Director regarding LTC survey data, reports, and general information.
• Ensures investigations are thorough and advises on determinations of resident/patient/client abuse and neglect; makes determinations of immediate jeopardy in which immediate corrective action is necessary.
• Occasionally may need to testify to inspection findings at hearings or in court proceedings.
• Provides liaison and consultation to providers, community organizations, citizens of Oklahoma, in areas of expertise; describes observed deficiencies to appropriate facility staff and provides consultation relative to improvements needed to comply with regulations.
• Communicates clearly and accurately up and down the chain of command, and with external stakeholders, to provide, exchange, or verify information, answer inquiries, or resolve issues or complaints.’ Creates and makes public presentations to internal and external partners.
• Communicates clearly and accurately up and down the chain of command, and with external stakeholders, to provide, exchange, or verify information, answer inquiries, or resolve issues or complaints.’ Creates and makes public presentations to internal and external partners.
• Reviews staff reports, program activities, and other information to evaluate program effectiveness and quality of service; develops controls to assure accountability for program operations, policy implementation and the maintenance of efficiency in various units.
• Tracks and reviews surveys in databases; monitors and reports data, which includes the Centers for Medicare & Medicaid Services (CMS) State Performance Standards System (SPSS) measures; participates in Federal Comparative Survey discussions, and other discussions with CMS.
• Consults staff regarding immediate jeopardy (IJ) situations; oversees discussions and surveyor debrief meetings with surveyors or surveyor teams; reviews or assigns review of facility plans of correction; participates in the division’s QAPI program
• Performs quality assurance reviews of documents prepared by others, for example, publications, assessments, and reports.
• Being present at the office is an essential function of this job.
• Other duties as assigned
• Performs quality assurance reviews of documents prepared by others, for example, publications, assessments, and reports.

Benefits

• Generous state paid benefit allowance to help cover insurance premiums.
• A wide choice of insurance plans with no pre-existing condition exclusions or limitations.
• Flexible spending accounts for health care expenses and/or dependent care.
• Retirement Savings Plan with a generous match.
• 15 days of vacation and 15 days of sick leave the first year for full time employees.
• 11 paid holidays a year.
• Student Loan repayment options & tuition reimbursement.
• Employee discounts with a variety of companies and venders.
• Longevity Bonus for years of service

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 101-250 employees