Homeoffice Quality Assurance Specialist, LTC (00221350) na Georgia Department of Community Health (DCH)

About the Department

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.  

Position Duties

Under broad supervision, the Quality Assurance Specialist for the LTC Program will be responsible for day-to-day quality review of Federal Long Term Care Opportunity to Correct Surveys. This position may plan, organize, or coordinate the activities for processing Opportunity to Correct surveys with the Quality Assurance Compliance Supervisor and compliance specialists. This position will provide guidance of the licensure and regulation of Long-Term Care program areas. Additionally, this position will be responsible for:

• Review, monitor, and ensure compliance with assigned program area's policies and procedures.
• Responsible for quality review of opportunity to correct surveys including 670 hours, supporting documents, and Statement of Deficiencies.
• Responsible for quality review of plan of corrections for opportunity to correct surveys submitted by facilities.
• Responsible for tracking and ensuring that all processes are complete and that all deadlines are met for all opportunity-to-correct surveys. Will notify the QA Compliance Supervisor when deadlines will not be met.
• Work with the QA Compliance Supervisor, LTC Regional Director, and the Compliance Specialists Team to ensure back-up coverage is provided for each region.
• Assist QA Compliance Supervisor in tracking surveys and reporting survey status updates during weekly quality assurance compliance specialist AEM Meetings.
• Assists in quality review work with opportunity to correct surveys and program management as needed with a primary role of conducting quality assurance reviews of survey work on opportunity to correct surveys.
• Assist LTC Regional Directors with revisits and any two-day Immediate Jeopardy (IJ) complaint surveys that may be required.
• Meet weekly with QA Compliance Supervisor to discuss OTC survey progress, issues or concerns.
• Participate in training programs for surveyors and training of new material as needed for Compliance Specialist.
• Responsible for professional correspondence with internal and external customers.
• Other job duties as assigned by the QA Compliance Supervisor

Minimum Qualifications

• Certification(s) and/or Degree in one or more related fields.
• A valid and active certification for Surveyor Minimum Qualifications Test (SMQT) 
• Working knowledge and experience in writing deficiencies, including defining the regulation and explaining why there is a deficiency based on the regulation's requirements.
• Experience in the field of Long-Term Care (nursing home) or any licensed healthcare facility in a clinical role.
• Experience as a Registered Nurse/LPN or licensed professional in a healthcare setting.
• Experience as a Registered Nurse/LPN in the field of mental health or Drug Treatment.
• Experience in utilization review and/or quality assurance in a healthcare setting.
• Experience in conducting assessments and evaluations based on regulations, legal requirements, and/or recognized accreditation standards.
• Demonstrated ability to produce high quality documentation with attention to detail. Strong communication and report writing skills.
• Strong organizational and time management skills.

Other Qualifications

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: https://www.governmentjobs.com/careers/dchga.