Compliance Specialist 2, Specialized Care Unit

Salary : $61,280.00 Annually

Location : Homebased, GA

Job Type : Full-Time Salaried

Job Number : 2023-04146

Division : Healthcare Facility Regulation Division (HFRD)

Unit : Non LTC Surveyor

Opening Date : 11 / 13 / 2023

Closing Date : Continuous

Description

Pay Grade : L

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 C ustomer Service and C ommunication, embracing T eamwork and fostering A ccountability to ensure that our internal and external customers and stakeholders feel included, respected, engaged and secure.

DCH is currently seeking qualified applicants for the position of Compliance Specialist 2, Specialized Care Unit with Healthcare Facility Regulation Division. This is a homebased position that will document and conduct on-site surveys and requires regional travel. Regional travel may require up to 90% overnight travel. Occasional weekend and after-hours work may also be required.

Under general supervision, this position may plan, organize or coordinate the activities of an assigned program. This position reviews, monitors and ensures compliance with assigned program area's policies and procedures. 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 and non-long term care facilities (i.e., Dialysis Centers, Traumatic Brain Injury Facilities, Out-patient Physical Therapy, Rural Health Clinics, Intermediate Care Facilities for Individuals with Intellectual Disability).

Job Responsibilities

Under broad supervision, the Compliance Specialist 2 assists in the operations of a unit, developing and administering policy, procedures & plans, and performs special projects as delegated. This position conducts investigations to obtain evidence of reported fraud, abuse, or violation of rules, regulations, or statutes, or locate missing persons. The position may supervise subordinate staff. Additionally, this position :

• Conducts utilization reviews, peer reviews, evaluation activities and all other reviews on a scheduled basis.
• Coordinates investigations involving noncompliance in facilities, community programs, regulated entity operations and other related programs.
• Coordinates the data management and quality assurance functions.
• Determines compliance with applicable state and / or federal rules and regulations.
• Develops, implements and evaluates the surveillance of utilization review process to ensure quality services.
• Monitors, tracks, and maintain records on compliance.
• Plans and evaluates outcome studies and / or compliance findings.
• Plans, develops, schedules and implements surveys and complaint investigations for licensure or certification of regulated facilities.
• Plans, organizes, and directs the certification / licensing process.
• Recommends programmatic and / or operational changes based on review, audit or survey results.
• Reviews new rules and service site applications.
• Researches and analyzes state codes, federal regulations and industry manuals regarding forms, policies and procedures.
• Reviews applications for accuracy and compliance with guidelines, regulations and laws.
• Performs investigations and / or audits according to established rules, regulations and other statutes.

Minimum Qualifications

Master's degree in a related field from an accredited college or university OR Bachelor's degree in a related field from an accredited college or university AND Two years of related experience OR Associate's degree in a related field from an accredited college or university AND Three years of related experience OR Four years of related professional experience.

Note : Some positions may require a certification or licensure. Possession of a valid Georgia driver's license, which would enable the applicant to drive in Georgia, and use of a car at work, is required for employees in this job. Position requires 90% state wide overnight travel. Occasional weekend and after-hours work may be required.

Preferred Qualifications

Preference will be given to candidates, who have a healthcare background and in addition to meeting the qualifications listed above, possess the following :

Additional Information

EARN MORE THAN A SALARY! In addition to a competitive salary, the Georgia Department of Community Health offers a generous benefits package, which includes employee retirement plan; paid holidays annually; vacation and sick leave; health, dental, vision, legal, disability, accidental death and dismemberment, health and child care spending account.

Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered, but may not necessarily receive an interview. Selected applicants will be contacted by the hiring agency for next steps in the selection process. Applicants who are not selected will not receive notification.

THIS POSITION IS SUBJECT TO CLOSE AT ANY TIME ONCE A SATISFACTORY APPLICANT POOL HAS BEEN IDENTIFIED. APPLICATIONS WITHOUT WORK EXPERIENCE LISTED WILL NOT BE CONSIDERED. CURRENT GEORGIA STATE GOVERNMENT EMPLOYEES WILL BE SUBJECT TO STATE PERSONNEL BOARD (SPB) RULE PROVISIONS. THE POSITION MAY BE FILLED AT A LOWER OR HIGHER POSITION LEVEL.

This position is unclassified and employment is at-will. Candidates for this position are subject to a pre-employment background history and reference check.

For more information about this job and other career opportunities with DCH, please visit our Careers Page : .

In addition to a competitive salary, we offer a generous benefits package that includes a flexible schedule, training opportunities, employee retirement plan, deferred compensation, 13 paid holidays, vacation & sick leave, dental, vision, long term care, and life insurance.

The answers you provide to the supplemental questions will be used to determine if you meet the minimum qualifications for this position. Your responses pertaining to specific work experience and education must be clearly shown in the areas for work history and education on your application. Your application must be completed in full before it is submitted. We do not accept additional information after your application has been received by the Personnel Department. Do you accept these conditions?

What is your highest level of education completed?

Are you a current employee of the Georgia Department of Community Health or an attached agency?

Do you have a current Georgia license to practice as a Registered Professional Nurse?

How many years of experience do you have in Healthcare auditing for regulatory compliance?

How many years of clinical experience in dialysis do you have?

How many years of experience do you have working at a facility that involves treating patients with Traumatic Brain Injuries (TBI)?

How many years of experience do you have in Outpatient Physical Therapy (OPT)?

How many years of experience do you have working in a role that performs functions specific to a Comprehensive Outpatient Rehabilitation Facility (CORF)?

How many years of experience do you have working in the field of Rural Health Clinics and initiatives?

How many years of experience do you have working in a role that performs functions specific to Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF / IID)?

This position conducts onsite surveys at healthcare facilities across the State of Georgia and requires statewide travel. Do you agree to extensive statewide travel?

Are you a veteran?

Required Question

Salary : $61,280