Program Compliance Coordinator

TX-HHSC-DSHS-DFPS•Austin, TX

11d•Remote

About The Position

Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence. The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you! The Program Compliance Coordinator (PCC) reports to the Quality Assurance Manager and is a member of the Quality Improvement team at the State Supported Living Center (SSLC) State Office. This position can be based anywhere in Texas and must routinely report to their headquarters location. This position requires significant travel to SSLCs (35% of work schedule). The PCC is assigned to 6 or 7 SSLCs and serves as a Quality Assurance subject matter expert. Performs highly advanced (senior-level) consultative services and technical assistance work in the areas of quality assurance and improvement. The PCC works closely with the SSLC State Office team and SSLC staff to monitor and report progress towards compliance with Intermediate Care Facility for Individuals with Intellectual Disability (ICF-IID) Conditions of Participation and quality assurance and quality improvement (QA/QI) processes and initiatives. As part of the QA and QI oversight process, conducts remote and on-site review of documents, on-site observations and interviews, and prepares narrative reports. Assists with the development of improvement plans and other QA/QI activities as needed. Tracks recommendations when plans of improvement are initiated to assist Centers with action step implementation and ensure recommendations are completed and have supporting evidence. Provides updates on SSLC progress in response to findings and action plans. Travels to assigned SSLCs to monitor and provide technical assistance to Center staff on minimum requirements and best practices. Works under minimal supervision, with considerable latitude for the use of initiative and independent judgment.

Requirements

Basic knowledge of local, state, and federal laws and standards related to the program area to include Intermediate Care Facilities/Individuals with Intellectual Disabilities (ICF/IID), Texas Administrative Code (TAC), and HHSC policies and procedures related to State Supported Living Centers, or ability to gain that knowledge.
Knowledge of security procedures for handling, protection, and distribution of confidential data.
Working knowledge and understanding of electronic health records.
Knowledge of statistical analysis processes; and of program planning and implementation.
Skill in data validation.
Skill in using monitoring tools to evaluate performance.
Ability to gather, assemble, correlate, and analyze facts.
Ability to devise solutions to problems.
Ability to prepare technical reports, to communicate effectively, to train, lead and coordinate the work of others.
Ability to collect, interpret, organize, verify, and disseminate significant amounts of information with attention to detail and accuracy.
Ability to provide direction and guidance to others
Ability to travel extensively (35% of the time)
Bachelor’s degree from an accredited college or university with at least one year of ICF-IID experience OR Associate’s degree with three years of ICF-IID experience.
Experience writing reports.
Experience conducting on-site monitoring, observations or program assessments.
Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/ Entities (LEIE).
Males between the ages of 18 – 25 must be registered with the Selective Service.
All State Supported Living Center Employees are subject to Random Drug Testing.
All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.

Nice To Haves

Experience evaluating compliance with administrative and programmatic requirements, policies, and guidelines is preferred.

Responsibilities

Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. May serve in an on-call status on a rotating schedule as required to meet operational needs of the SSLCs. Extensive travel (35%) is required.
For assigned SSLCs, provides technical support, on-site or virtually, during quality assurance-oriented meetings. Meetings include Quality Assurance/Quality Improvement Council (QAQI) meetings, monthly/quarterly department lead meetings, State Office monthly QA meeting with assigned Centers, corrective action plan (CAP) team meetings, and plan of improvement (POI) meetings. Elevates concerns to the Quality Assurance Manager.
Conducts at least one on-site visit annually, or more as needed, to provide on-site monitoring, verify/validate the completion of QA action plans and implementation of directives. While on-site, evaluates programs, procedures, and/or processes for effectiveness through the use of designated monitoring tools. Analyzes data and documentation and provides recommendations for improvement or identification of best practices. Participates in internal State Office meetings to discuss findings, observations, provide updates when needed, and with the help of other State Office staff, identify issues requiring SSLC Director notification, and assists in developing actions to address compliance gaps or performance concerns. Provides technical assistance to other State Office staff and the Center, as needed.
After each on-site visit, prepares a report of findings within assigned time frames. Provides updates on status to Center administration and State Office both verbally and in writing. Submits the report to the Quality Assurance Manager for approval and distributes to State Office and the Center. Works with the Center after the visit to coordinate action plans and improvements. Addresses comments and questions about findings from Center and/or State Office staff. Makes recommendations to improve QA and QI processes when needed.
In between on-site visits, regularly reviews QAQI reports, data inventory, and improvement plans for assigned Centers to provide feedback and work with Center staff to clarify and edit them. Provides oversight and verification of Center QA processes such as submitting required documents, completing quality audits, and conducting data validation. When needed, coordinates the Center, State Office discipline coordinators, and QA staff when progress is not made or concerns are identified.
When a plan of improvement (POI) is required for an assigned Center, the PCC compiles the POI by collecting data from QA and action items from subject matter experts and serves as liaison between the Center and State Office throughout the POI process. Conducts on-site observations at a determined interval to verify POI action steps are complete. Attends all POI meetings and communicates concerns to SSLC leadership.
Collaborates with other State Office staff to promote facility compliance with Intermediate Care Facility for Individuals with Intellectual Disability (ICF-IID) Conditions of Participation and system-wide policies and procedures. Analyzes the implementation of and variation within processes across SSLCs to develop action plans for improving processes or initiating new ones. Provides consultation and technical assistance on quality assurance and improvement processes to other State Office staff. Other potential collaborative activities include developing program policies, procedures, standards, and manuals, developing and implementing new monitoring tools, identifying the need for new programs, and providing training and guidance to staff in the development and integration of new methods and procedures.
As needed, conducts on-site visits to assigned Centers to assist with review or implementation of ad hoc Center initiatives. Duties for ad-hoc visits could include compiling data and preparing a report within assigned time frames after the on-site review. Provides updates on status to Center administration and State Office both verbally and in writing. Works with the Center after the review to coordinate action plans and improvements. Develops recommendations to improve QA/QI processes when needed.
Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

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

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume