Inspector V - The Program Compliance Monitor (PCM) reports to the Director of Quality Assurance. The PCM conducts audits of the facility's service delivery system to determine compliance with applicable standards, laws, policies and procedures. The PCM performs quality improvement activities to assist in the facility in achieving and maintaining compliance with ICF standards. Audit and quality improvement activities include planning, coordination, implementation and evaluation of program areas. Other responsibilities include conducting internal program audits and reviews; coordinating activities for external audits and surveys; preparing detailed reports of findings with recommendations; developing and implementing plans of correction; providing consultation and staff training; completing record audits; and preparing reports as required by the Department of Aging and Disability Services. The PCM conducts follow up on recommendations from incident investigations as requested. Work schedule may vary in order to complete audits, surveys and special projects.
Essential Job Functions:
Conducts surveys, audits, and reviews to determine the facility's compliance with certification requirements, standards, laws, rules, policies and procedures. 15%
Prepares written reports detailing the findings and recommendations of surveys, audits, and reviews. 10%Coordinates activities related to surveys by Department of Aging Disability Services (DADS) Regulatory for recertification, incidents and complaints. Coordination includes collecting data and disseminating information before surveys and providing assistance to surveyors/auditors during the survey process. 10%
Participates as a team member in the development and implementation of plans of corrections following surveys, audits and reviews. 10%
Coordinates data collection, audits and analysis to prepare reports as required by DADS (Critical Incident Reporting System, Governing Body, Medicare B, Facility Support Performance Indicators, Management Plan and facility self-assessments).10%
Writes or participates in writing policies and procedures. 10%
Provides consultation/interpretation of rules and standards for use in program
planning and evaluation. 5%
Regularly reviews OPM and POR manuals for compliance with applicable laws, regulations and other policies. Policies and procedures are revised as needed.5% Develops instructional materials and conducts staff training. 5%
Facilitates meetings on a regular basis.5%
Participates in client programming/facility committees. 5% Coordinates non-consensus resolution by serving as coordinator for Administrative Review Teams and preparing written reports detailing the outcome of the team meetings.5%. Performs related tasks as assigned. 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.
Knowledge Skills Abilities:
1) Extensive knowledge and ability to present program information in a clear and concise manner, both orally and in writing.
2) Extensive knowledge of state and federal standards, laws and regulations pertinent to the facility.
3) Extensive knowledge of the individual habilitation plan including active treatment, interdisciplinary team process, health and safety issues.
4) Extensive knowledge of incident management processes.
5) Ability to analyze information, identify problems in programming areas and recommend corrective actions.
6) Ability to identify successful implementation and completion of actions recommended in incident investigations.
7) Ability to write or participate in writing policies and procedures.
8) Demonstrated ability to provide effective oversight of staff activities.
9) Ability to communicate effectively to provide program consultation and conduct training sessions.
10) Ability to use job related computer programs effectively.
11) Extensive knowledge and ability to train staff.
12) Ability to facilitate meetings.
Registration or Licensure Requirements:
Experience in inspection work. Graduation from a standard senior high school or equivalent is generally preferred. Experience and education may be substituted for one another.
Prefer - Bachelor's degree from an accredited college or university with a major course work in a field related to the agency program is preferred. One (1) year of work experience planning, organizing, directing, controlling, or coordinating activities in a related program is preferred. 12 consecutive months of experience that provided a thorough working knowledge of ICF/ID standards also preferred.
Initial Selection Criteria:
1) Experience conducting surveys, audits, and reviews to determine compliance with recertification requirements, standards, laws, rules, policies and procedures.
2) Experience preparing written reports with detailed findings and recommendations.
3) Experience coordinating activities (collecting data, disseminating information, assistance to surveyors/auditors) related to surveys/audits for recertification and incident and complaint investigations.
4) Experience developing and implementing plans of correction.
5) Experience applying relevant rules, laws and ICF/ID standards.
6) Experience writing policies and procedures.
7) Experience developing instructional materials and conducting staff training.
8) Experience with incident management processes.
9) Experience in a field relating to human services.
Completion of the pre-screening assessment must be completed to be considered for this position.
All applicants must pass: pre-employment drug screen, DPS criminal background check, Client abuse/Neglect Reporting System (CANRS), employee Misconduct Registry, and Nurse/Aide Registry checks. If selected for employment, FBI fingerprint check. Males between the ages of 18-25 must register with the Selective Service.
All State supported Living Center employees are subject to random drug testing.
The work hours are 8-5 but flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.
In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
68R, 35M, 6033, 2A7X2, AM, 35M. All active duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information see the Texas State Auditor's Military Crosswalk at http:www.hr.sao.state.tx.us/Compensation/Job Description.aspx
HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.
I-9 Form - Click here to download the I-9 form.
In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.