What are the responsibilities and job description for the Compliance Specialist 2, LTC Complaints Unit (00081292) position at Georgia Department of Community Health?
The Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead agency for Medicaid, oversees the State Health Benefit Plan (SHBP) and Healthcare Facility Regulation, impacting one in four Georgians.
Through effective planning, purchasing and oversight, DCH provides access to affordable, quality health care to millions of Georgians, including some of the state's most vulnerable and under-served populations. Six enterprise offices support the work of the agency’s three program divisions. DCH employees are based in Atlanta, Cordele and across the state.
DCH is committed to providing superior Customer Service and Communication, embracing Teamwork and fostering Accountability to ensure that our internal and external customers and stakeholders feel included, respected, engaged and secure.
The Compliance Specialist 2, under general to limited supervision, conducts on-site surveys of long-term care facilities regulated by the state to determine compliance with applicable state and/or federal rules and regulations. This position may be asked to survey other facility types as needed. Surveys are conducted either independently or as a part of a multi-disciplinary team using both an automated and a written survey process to review the quality of care delivered in federal and state long term care facilities (i.e., nursing homes, skilled nursing facilities). Additionally, this position performs the following job duties.
- Reviews, monitors and ensures compliance with assigned program area's policies and procedures.
- Evaluates highly complex situations and prepares survey documents under strict deadlines.
- Plans and organizes the survey according to the facility's services, size and compliance history.
- Gathers data to determine compliance with applicable guidelines through on-site interviews with facility staff and/or clients, observation of procedures, inspection of environment and/or equipment, and review of applicable records.
- Compiles report of findings and deficiencies with appropriate evidence to support deficiency.
- May recommend adverse actions if appropriate and may communicate initial findings to the facility.
- Focuses survey in response to the priority of client's needs and/or complaints, and as findings emerge, changes survey focus accordingly.
- Coordinates activities with appropriate agencies.
- Expected to remain current on both federal and state requirements for long-term care facilities through regular training and review of materials.
- Expected to have good time management skills and to conduct investigations thoroughly and efficiently.
- May travel throughout the state, as the need arises, to survey in Long-term Care Facilities.
- Participates in weekly team meetings and actively discuss progress of investigations.
- Responsible for ensuring records from outside sources are requested and included in complaint investigations. Expected to utilize established complaint procedures and tools for documenting investigations and writing reports.
- Expected to maintain clear and accurate communication with management and support staff.
- May serve as team lead.
- Other duties as assigned.
- One year experience in report writing
- One year experience with investigative reporting
- One year experience in working with Microsoft Outlook and Word
- Working knowledge of Software Programs - ASPEN, iQIES, HARP, QSEP, Concur, PeopleSoft
Salary : $61,280 - $67,408
