About The Position

The Health Facilities and Emergency Medical Services Division (HFEMSD) is responsible for the oversight and enforcement of a broad range of federal and state statutes and regulations applicable to a wide variety of health care facilities and services in Colorado. This includes hospitals, clinics, ambulatory surgical facilities, renal dialysis centers, emergency medical services providers, designated trauma centers, long term care facilities, and many other specific types of health care services. The division licenses, certifies and surveys healthcare facilities and services; provides patient safety and healthcare quality programs; recognizes Emergency Medical Service (EMS) education programs and certifies EMS providers, designates trauma centers and licenses all air and ground ambulance services operating within the state of Colorado. This work unit exists to protect the health, safety, and welfare of patients/residents of health care facilities in the state of Colorado by evaluating and securing compliance of licensed and certified facilities and providers, utilizing applicable federal and state laws/regulations and professional standards of practice; and to provide to the public information on health care facilities. This position is staffed by professionals who work independently or as a member of an interdisciplinary team to assess the care, treatment and quality of life provided by health care facilities through observations, interviews, and record review. Uses experience, training and judgment in evaluating and applying statutes, regulations, guidelines, policies and procedures on a case-by-case, item-by-item basis for facility compliance/violation. Works as the RN required for the survey team, and conducts nursing observations and medication pass task, and other tasks as applicable. Reviews occurrences and incidents of serious deficiencies and assesses whether licensed health facilities intervened appropriately. Writes statements of deficiencies, identifying areas of non-compliance with federal and state requirements based on survey/investigation results. Acts as resource, educator, and interpreter of regulations for service providers and consumers, based upon established guidelines, policies and procedures.

Requirements

  • Residency Requirement: This posting is only open to residents of the State of Colorado at the time of submitting your application.
  • Six (6) years of applicable health care in a facility or program regulated by the Health Facilities and Emergency Medical Services Division, nursing facility or related experience and current, AND valid licensure as a Registered Nurse from the Colorado Board of Nursing or any state participating in the Enhanced Nurse Licensure Compact (eNLC).
  • A combination of related education and/or relevant experience in applicable health care in a facility or program regulated by the Health Facilities and Emergency Medical Services Division, nursing facility or closely related experience equal to six (6) years AND valid licensure as a Registered Nurse from the Colorado Board of Nursing or any state participating in the Enhanced Nurse Licensure Compact (eNLC).
  • Proficiency in fundamental computer skills such as navigating operating systems, using basic software applications, and communicating through email is required.
  • Must maintain RN licensure.

Nice To Haves

  • Non-clinical or clinical health care experience, preferably in an acute or specialized setting nursing facility or agency but will consider other areas such as assisted living/home care, etc
  • Experience with evaluating a health care facility's quality of care, services, and treatment of the residents/clients.
  • Experience evaluating facility practices through observations and record review.
  • Experience with conducting interviews with residents/patients, family members, staff, outside agencies and medical professionals.
  • Experience with analyzing evidence and survey results to determine if and why a healthcare facility is out of compliance with applicable statutes and regulations.
  • Experience writing clear, concise, and legally defensible statements of deficiencies.
  • Ability to analyze and interpret clinical evidence and observe, record, and interpret information.
  • Thoroughness when performing work and conscientiousness in attention to detail.
  • Model high standards of honesty, integrity, trust, openness and respect for individuals.
  • Ability to speak and write clearly and concisely.
  • Strong interpersonal and conflict management skills.

Responsibilities

  • On an unannounced basis, independently or as a member of an interdisciplinary team, determines whether the entity is operating in compliance with applicable statutes/regulations.
  • Assesses and evaluates health care facility/agency quality of care, services, and treatment of the residents/patients as well as facility practices through observation, record review, as interviews with residents/patients, family members, staff, and outside agency and medical professionals.
  • RN serves as a clinical resource to determine whether the delivery of nursing care is in accordance with professional standards of practice and relevant state and federal requirements are being met.
  • RN required for the survey team to conduct nursing observations and medication pass tasks as applicable.
  • Collects and documents evidence and survey results based on observations, interviews and record review.
  • Writes clear, concise, and legally defensible statements of deficiencies based on analysis of the documented findings and extensive knowledge of these laws, regulations and guidelines as set forth in the Centers for Medicare and Medicaid Services (CMS) and State regulations, Principles of Documentation, and program-specific protocols, policies and procedures, as applicable.
  • Advises, counsels and provides guidance to facility/agency administrators/staff regarding the purpose/reason for the regulations, and how to/or why areas are non-compliant.
  • Attends meetings, serves on task forces or teams, completes projects, and performs other duties as assigned by the supervisor.

Benefits

  • Free parking and access to RTD bus lines.
  • Flexible working arrangements
  • Retirement ( PERA options), Medical and dental health plans Defined Benefit Plan or the PERA Defined Contribution Plan, plus optional 401K and 457 plans
  • Paid life insurance
  • Short- and long-term disability coverage
  • 11 paid holidays per year and generous personal time off
  • Tuition assistance
  • Wellness programs
  • Professional development opportunities on a wide variety of subjects
  • Career advancement opportunities throughout the State system
  • Some positions may qualify for the Public Service Loan Forgiveness (PSLF) Program.
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