Nursing Facility Administrator (NFA) Program Specialist and Registry Enforcement Unit (CARE)

TX-HHSC-DSHS-DFPS•Dallas, TX

1d•$5,099 - $8,305•Remote

About The Position

This position leads and conducts enforcement/compliance review for the Nursing Facility Administrator (NFA), Criminal History (CH) Enforcement and all CARE programs. Oversees referral processes; ensures all NFA, criminal history and CARE program referrals meet requirements; ensures all referrals received from regions as result of survey/investigation findings and criminal history referrals from Licensing are tracked/processed timely; works extensively with Legal to interpret criminal histories to determine validity. Oversees/coordinates with Special Investigations Unit for receipt/completion of referrals/investigations and accuracy of investigation reports. Oversees and offers due process to referred nursing facility administrators; coordinates Informal Reviews (IR); conducts Further Administrative Reviews (FAR); coordinates with attorneys to prepare/testify for formal hearings; imposes and timely enters final enforcement actions; tracks completion of sanctions. Extensive knowledge of nursing facility administrator programs; implements and recommends changes/improvements to program procedures; documents, tracks and analyzes program statistics and provides as requested to management; and provides technical assistance and consultative work. Oversees the implementation and development of program guidelines, rules, and policies of the NFA program and recommends improvements as necessary. Assists with the referral process and compliance for the NFA program to include NFA and CH Enforcement. Preparation of timely and comprehensive enforcement tracking worksheets (ETW) to include the Issue Rule Application Conclusion (IRAC) review process for each NFA referral/complaint. Oversees the determination of a compliance decision and conclusion to submit to the Governor appointed Nursing Facility Administrators Advisory Committee (NFAAC) for review and recommendation of sanction. Acts a liaison to the NFAAC and Governor’s Office to coordinate the submission and review of NFA referrals/complaints, scheduling and coordinate quarterly NFAAC public hearings for the committee to review and recommend sanctions. Works under general supervision of the Manager of Credentialing and Registry Enforcement, with moderate latitude for the use of initiative and independent judgment.

Requirements

Graduation from an accredited four-year college or university.
Knowledge of state and federal laws, regulations and rules relevant to Nursing Facility Administrator Enforcement and Nursing Facility Enforcement CH (Criminal History) Enforcement.
Ability to gather, assemble, correlate, and analyze facts; to devise solutions to problems; to develop and evaluate policies and procedures; to prepare reports; to market program(s); to communicate effectively; to draft effective and professional written correspondence; and to train others.
Strong verbal and written communication skills are required.
Must be able to communicate effectively and to draft effective and professional written correspondence, and to train others.
Strong organizational skills: strong mentoring skills and leadership qualities required.
Ability to read, interpret, incorporate and communicate state and federal statute, rules, policies and procedures.
Experience with interpreting, developing or implementing policy.
Strong verbal and written communication skills and organizational skills are required.
Ability to read, interpret, incorporate and communicate state and federal statute, rules, policies and procedures.
Skill in operating computers and applicable computer software.
Ability to establish goals and objectives.

Nice To Haves

Experience with and Regulatory Services long-term care surveys preferred.
Experience with electronic communications, including computer word processing software.

Responsibilities

Leads and conducts enforcement/compliance review for the Nursing Facility Administrator (NFA), Criminal History (CH) Enforcement and all CARE programs.
Oversees referral processes; ensures all NFA, criminal history and CARE program referrals meet requirements.
Ensures all referrals received from regions as result of survey/investigation findings and criminal history referrals from Licensing are tracked/processed timely.
Works extensively with Legal to interpret criminal histories to determine validity.
Oversees/coordinates with Special Investigations Unit for receipt/completion of referrals/investigations and accuracy of investigation reports.
Oversees and offers due process to referred nursing facility administrators; coordinates Informal Reviews (IR); conducts Further Administrative Reviews (FAR).
Coordinates with attorneys to prepare/testify for formal hearings.
Imposes and timely enters final enforcement actions; tracks completion of sanctions.
Implements and recommends changes/improvements to program procedures.
Documents, tracks and analyzes program statistics and provides as requested to management.
Provides technical assistance and consultative work.
Oversees the implementation and development of program guidelines, rules, and policies of the NFA program and recommends improvements as necessary.
Assists with the referral process and compliance for the NFA program to include NFA and CH Enforcement.
Prepares timely and comprehensive enforcement tracking worksheets (ETW) to include the Issue Rule Application Conclusion (IRAC) review process for each NFA referral/complaint.
Oversees the determination of a compliance decision and conclusion to submit to the Governor appointed Nursing Facility Administrators Advisory Committee (NFAAC) for review and recommendation of sanction.
Acts as a liaison to the NFAAC and Governor’s Office to coordinate the submission and review of NFA referrals/complaints, scheduling and coordinate quarterly NFAAC public hearings for the committee to review and recommend sanctions.
Administers and assists with NFA program areas and provides interpretation of State laws/regulations for applicable entities, administrators, provider organizations, Legal staff, agency staff statewide, and the public.
Assists with oversight and maintenance of the integrity of the NFA Enforcement and NFACH Enforcement databases and processes; makes timely and accurate database entries; assures timeliness of processing referrals/complaints, notification, due process and management of workflow.
Ensures quality assurance for NFA programs.
Conducts Enforcement/compliance reviews for NFA referral packets from the regions and Special Investigations Unit (SIU) to ensure appropriate rule violations are cited and necessary documentation is provided in order to proceed with each referral.
Coordinates and/or conducts IRs/FARs/Enforcement Reviews to determine compliance with licensure, certification and permit requirements, laws, regulations, policies and procedures.
Provides hearing testimony for NFA program.
Conducts trainings and presentations for NFA program.
Analyzes and identifies processes/procedures in need of change, enhancement, or implementation to help ensure compliance with program policies/procedures.
Develops action plans to meet program goals and recommends policy changes as needed.
Continuously reviews the referral process to implement mandated changes; identify inefficiencies; enhance effectiveness and make timely considered recommendations for change.
Performs highly advanced quality assurance activities for NFA programs, and performance measure tracking, analysis, and trends.
Communicates professionally and effectively (verbally and in writing).
Gathers, assembles, correlates, and analyzes facts; devises solutions to problems; develops and evaluates policies and procedures; reviews, edits and prepares reports.