State Program Enforcement and Quality Assurance Manager, PCH Programs - Atlanta, United States - Georgia Department of Community Health

Description

Salary:
$70, $78,000.00 AnnuallyLocation : Atlanta, GA

Job Type:
Full-Time Salaried

Remote Employment:
Flexible/Hybrid

Job Number:
Division: Healthcare Facility Regulation Division (HFRD)

Unit:
Personal Care Homes
Opening Date: 04/29/2024
Closing Date: 5/13/2024 11:59 PM EasternDescription

Pay Grade:

MThe 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.

DCH is currently seeking qualified candidates for the position of State Program Enforcement and Quality Assurance Manager, PCH Programs with the Healthcare Facility Regulation Division.

This position must be able to work hours other than just from 8:00 AM to 5 PM during the work week to meet the needs of the business as necessary and with the approval of your supervisor.

This position must have the ability to travel occasionally (i.e., quarterly) for activities such as out-of-town meetings, conferences, or training sessions.

Job ResponsibilitiesUnder general and limited supervision, the State Program Enforcement and Quality Assurance Manager will be responsible for day-to-day quality reviews related to the Personal Care Home Program surveys and training.

This position may plan, organize, or coordinate the activities for processing surveys with Compliance Specialists. This position reviews, monitors, and ensures compliance with assigned program area's policies and procedures. Responsible for reviewing survey reports and 670 hours, supporting documents, and Statement of Deficiencies.

Responsible for quality review of the plan of corrections submitted by personal care homes, assisted living centers, and adult day health programs.

Responsible for tracking and ensuring all processes are complete and all deadlines are met for all opportunities to correct surveys.

Works with the Regional Directors and Compliance Specialists team to ensure backup coverage is provided for each region. Serves as the PCH subject matter expert during scheduled weekly SEC meetings.
Track and report survey status updates for reporting during weekly SEC meetings.

Performs quality review work and program management as needed with a primary role of conducting quality assurance reviews of survey work and other job duties as assigned by the PCH Director.

Correspond and effectively collaborate with the PCH Director, Director of Training & QA, Regional Directors, and the Legal Team regarding an opportunity to correct surveys in assigned regions.

Assists program director with developing SOPs, and using the standard program writing guide while ensuring consistency and efficient documentation across the board.

Assist with the surveyor and RD development as requested, including orientation, in-service training, workshops, and continuing education for PCH staff.

Oversees the scheduling process, compiling and reporting the program's data metrics monthly, quarterly, and annually. Serves as a direct backup and point of contact for the PCH Director as needed and in their absence.

Minimum QualificationsMaster's degree in a related field from an accredited college or university AND One year of management experience in the area of assignment OR Bachelor's degree in a related field from an accredited college or university AND Two years of management experience in the area of assignment OR Six years of experience in the area of assignment, Three years of which in a management role OR One year of experience required at the lower level Mgr, Regulatory Compliance (RCM050) or position equivalent.

Note:
Possession of a valid Georgia driver's license, which would enable the employee to drive in Georgia, and use of a car at work, are required for employees for this job

Preferred Qualifications:

Preference will be given to candidates who have a background and, in addition to meeting the qualifications listed above, possess the following:Certification(s) and/or Degree in one or more of the related fieldsRegistered NurseExperience in utilization review and/or quality assurance of a PCH/healthcare setting.

Experience conducting assessments and evaluations based on regulations, legal requirements, and/or recognized accreditation standards in a PCH/healthcare setting. Demonstrated ability to produce high-quality documentation with attention to detail.
Strong communication, organizational, report-writing, and time-management skills.

Additional InformationEARN 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.01 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? Yes No 02 Are you a current employee of the Georgia Department of Community Health or an attached agency? No Full Time Employee Part Time Employee Temp or Contractor Intern Volunteer 03 What is your highest level of education completed? Juris Doctorate Master's Degree Bachelor's Degree Associates Degree Some College/Tech School High School Diploma GED None of the above 04 Do you have a current Georgia license to practice as a Registered Nurse? Yes No 05 How many years of experience do you have in setting/establishing healthcare or health related priorities for a clinical program in the field of Personal Care Homes? Less than 1 yr 1 to 3 yrs 3 to 5 yrs 5 to 7 yrs 7 to 9 yrs More than 9 yrs 06 How many years of experience do you have working in a healthcare setting imposing adverse actions against healthcare facilities or individuals who have violated rules and regulations? None Less than 1 Yr. 1 Yr. to less than 3 Yrs. 3 Yrs. to less than 5 Yrs. 5 Yrs. or more 07 How many years of recent experience do you have in a healthcare setting to include investigative reporting, report writing, and conducting interviews? None Less than 1 Yr. 1 Yr. to less than 3 Yrs. 3 Yrs. to less than 5 Yrs. 5 Yrs. or more 08 How many years of direct experience do you have with crisis management and de-escalation techniques and strategies? None Less than 1 Yr 1 Yr to less than 3 Yrs 3 Yrs to less than 5 Yrs 5 Yrs or more 09 How many years of experience do you have in conducting quality assurance audits for regulatory compliance in a healthcare setting? None Less than 1 Yr. 1 Yr. to less than 2 Yrs. 2 Yrs. to less than 4 Yrs. 4 Yrs. to less than 5 Yrs. 5 Yrs. or more 10 How many years of nursing management, supervisor or leadership experience in a clinical setting do you have? None Less than 1 Year 1+ Years 2+ Years 3+ Years More than 4 Years 11 How many years of experience do you have in operating multiple database systems, i.e., ACO, ASPEN, IQIES, and Laserfiche? None Less than 1 Yr 1 Yr to less than 2 Yrs 2 Yrs to less 3 Yrs 3 Yrs to less than 4 Yrs More than 4 Yrs 12 Are you a veteran? Yes No Required Question