Review Compliance Coordinator

TX-HHSC-DSHS-DFPS•RICHMOND, TX

7d•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. 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 Review Compliance Coordinator reports to the Compliance 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 headquarter location. This position requires significant travel to SSLCs (35% of work schedule). The Review Compliance Coordinator 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 State Review requirements. Performs highly advanced (senior-level) consultative services and technical assistance work in the areas of quality assurance and improvement with focus on the State Review process. The State Review is an annual internal quality review of each of the thirteen SSLCs, using standardized monitoring tools. The Review Compliance Coordinator is assigned to 6 or 7 SSLCs and serves as a subject matter expert for quality improvement processes and the State Review for the assigned Centers. As part of the State Review process, the Review Compliance Coordinator conducts remote and on-site review of documents, on-site observations and interviews, participates as a State Reviewer, and writes assigned monitoring summaries/reports. Coordinates comments process for State Review draft reports. Tracks required actions following State Reviews to assist Centers with implementation and verify required actions are completed. Assists with the development of improvement plans related to the State Review and other Quality Assurance/Quality Improvement (QA/QI) activities as needed. Provides updates on SSLC progress in response to State Review findings. 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)

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.
Prior to State Reviews, schedules and sends invitations for prep meeting, entrance, exit, and internal State Review Team meetings. Reviews and finalizes the previous State Review’s required actions tracker, informing the Compliance Manager and relevant disciplines of any outstanding items. Prepares and disseminates review documents and correspondence including meeting agendas, supporting materials, logistical information, and other information as needed for State Reviewers and Center administration.
For each Center on the assigned caseload, travels to participate in the State Review. Serves as the liaison with the SSLC Director ahead of the State Review. While on-site for the review week, evaluates programs, procedures, and/or processes for effectiveness through the use of the designated monitoring tools. Serves as State Reviewer assessing areas such as water temperatures and fire drill compliance. Obtains and analyzes data and documentation and provides recommendations for improvement or identification of best practices. Participates in internal meetings to discuss findings, observations, provide updates when needed, and in collaboration with the entire State Review Team, identifies issues requiring immediate attention; assists in developing action plans when needed to address compliance gaps or performance concerns. Provides technical assistance to other State Review Team members and the Center, as needed. Serves as State Review Team facilitator as needed.
After the on-site review, calculates scores and prepares a report within assigned time frames for assigned areas such as water temperatures and fire drills. Works with the Center to coordinate the draft report comments process. Compiles and reviews Center comments. Addresses comments and questions from the Center about scores and narratives, ensuring all results provided are accurate and appropriate based on performance. Works with Center staff for clarifications/edits as needed and submits a finalized document to the Compliance Manager for distribution to State Reviewers. Makes recommendations to improve the State Review process when needed.
Between State Reviews, serves as subject matter expert for each of the assigned Centers in providing oversight and validation of actions completed and status of SR recommendations. Meets regularly with Center to ensure progress is made with State Review recommendations, conducts validation checks for completed items, and when needed, coordinates the Center, State Office Discipline Coordinators, and QA staff when progress is not made.
Conducts at least one on-site visit between State Reviews, or more as needed, to provide on-site monitoring to verify/validate the completion of required actions and progress. Following the visit, provides updates on status to Center administration and State Office both verbally and in writing.
Collaborates with other State Office staff to ensure the Center’s focus is aligned with agency goals. Analyzes the implementation of and variation within processes across SSLCs to develop action plans for improving processes or initiating new ones. 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.
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.