Program Specialist IV

Texas Health & Human Services Commission•San Antonio, TX

47d•Onsite

About The Position

Program Specialist IV- Surveyor/Inspector/Investigator, works under limited supervision, with considerable latitude for the use of initiative and independent judgment. Performs highly complex (senior level) technical assistance, program support for regulated health care facilities and stakeholders. Conducts recertification surveys, initial surveys, follow-up visits and complaint investigations at regulated health facilities to determine compliance with state and federal regulations. This position evaluates health facility providers' plans of correction for acceptable corrective action on cited deficiencies and refers for state and federal enforcement action. This position prepares and completes appropriate reports accurately and on a timely basis. This position may serve as a preceptor for orientation of new surveyors. This position may represent the department at stakeholder or professional meetings. Responds to inquiries whether by e-mail, telephone, or in person. Follows the State Operations Manual. May be requested to assist in a variety of roles during emergency situations or in other activities as assigned. This position has extensive latitude in completing essential job functions. Database responsibilities include planning, developing, and implementing data entry, report construction, workload monitoring, and quality assurance in TULIP, ASPEN (ACO/ACTS), IQIES, SharePoint, and other systems.

Requirements

Knowledge of local, state and federal health care laws and regulations relevant to program areas.
Knowledge of a health care facility operation, regulation, and procedures.
Knowledge of public administration and management techniques.
Knowledge of statistical analysis processes
Knowledge of research techniques
Knowledge of training and marketing techniques
Knowledge of program management processes and techniques.
Skill in written and verbal communication including public speaking.
Skill in managing multiple and competing priorities.
Skill in identifying measures or indicators of program performance and in the use of a computer and
applicable software.
Skill in identifying problems, evaluating alternatives, and negotiating and implementing solutions.
Skill in working collaboratively and cooperatively with diverse groups.
Ability to gather, assemble, correlate, and analyze facts.
Ability to prepare and maintain records.
Ability to explain public health law.
Ability to devise solutions to problems.
Ability to prepare reports.
Ability to develop, evaluate, and interpret policies and procedures.
Ability to communicate effectively.
Ability to provide guidance to others.
Ability to organize and present information effectively, both orally and in writing.
Ability to use computers and computer software for word processing, database management and
report writing.
Ability to plan, assign and/or supervise the work of others.

Nice To Haves

Experience evaluating or surveying health care facilities/agencies/providers/suppliers.
Experience in direct health care delivery.
Experience in health services administration.
Experience in quality assurance/quality control/performance improvement.
Hospital Administrator experience.

Responsibilities

Conduct on-site surveys and investigations of licensed and or Medicare certified health care facilities to determine compliance with applicable state and federal laws, regulations, and rules.
Analyze, compiles and reviews complex, technical information derived from clinical record reviews, facility management and business record reviews, patients, consumer and facility staff interviews, and onsite observations.
Evaluate management, supervision and quality of care delivery.
Determine the validity of the allegations in the complaint and compliance with state and federal regulations, and documents survey and investigation findings in the Automated Survey Processing Environment (ASPEN).
Comply with the Principles of Documentation when preparing deficiency reports.
Review plans of correction submitted by healthcare facilities to determine acceptability.
Develop recommendations for adverse state enforcement action and federal termination action if applicable, and refers to other regulatory entities if appropriate.
Submit travel timely, accurately and according to policy; enters leave in CAPPS timely.
Plans, assigns and/or supervise the work of other survey staff and survey teams.
Provide consultation and serves as a preceptor and mentor in the orientation and initial training of newly employed surveyors.
Use the Centers for Medicare & Medicaid Services (CMS) Surveyor Training Orientation Program for the Newly Employed Surveyor and the specific laws and regulations for each health facility type to teach the survey process.
Use standardized reports to compose field evaluation reports of newly employed surveyors.
Participate in training workshops to enhance the skills of surveyors.
Assist management and quality assurance program staff in the development and implementation of quality assurance processes.
Represent the agency by providing information, collaborating with stakeholders, customers, other state agencies and federal partners.
Respond to inquiries and requests from providers and health care consumers regarding regulated facilities, both verbally and in writing utilizing word processing software, such as Word.
Perform related work as assigned maintaining flexibility and openness to assist the program in achieving goals, objectives and required timelines.

Benefits

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.

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