- 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.
- Certification(s) and/or Degree in one or more of the related fields
- Experience in the field of home health and/or hospice or hospital, assisted living, private homecare, adult daycare or any licensed healthcare facility
- Experience as 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 writing skills.
- Strong organizational and time management skills.
- Yes
- No
- Master's Degree
- Bachelor's Degree
- Associates Degree
- Some College/Tech School
- High School Diploma
- GED
- None of the above
- No
- Full Time Employee
- Part Time Employee
- Temp or Contractor
- Intern
- Volunteer
- Yes
- No
- Yes
- No
- Yes
- No
-
Compliance Specialist
4 weeks ago
GeorgiaGov Atlanta, United StatesThe Board of Dentistry is seeking qualified candidates for the Compliance Specialist. Under general supervision, the Compliance Specialist will perform administrative duties related to proper processing of complaints filed with the Georgia Board of Dentistry. The Compliance Speci ...
-
Compliance Specialist
2 weeks ago
GeorgiaGov Atlanta, United StatesCompliance Specialist · TechnicalCollegeSystemofGeorgia Office of Workforce Development · EntrySalary:$50,000 - $58,000 (commensurate with education and experience) · Location: 1800CenturyPlace,Atlanta,Georgia,30345 · Thepositionisopentoallapplicantsthatmeettheminimumqualific ...
-
Compliance Specialist
3 weeks ago
State of Georgia Atlanta, United StatesTO APPLY · Please visit the DCH jobsite link to review the job posting and apply · Applicants who do not apply using the dchjobs link provided above will NOT be considered. · The Board of Dentistry is seeking qualified candidates for the Compliance Specialist. Under general su ...
-
Compliance Specialist
5 days ago
State of Georgia Atlanta, United StatesCompliance Specialist (Employer Accounts) · Technical College System of Georgia · Office of Workforce Development · Entry Salary: $48,000 · Location: REMOTE · The position is open to all applicants that meet the minimum qualifications below. · The Technical College System of Geor ...
-
Compliance Specialist
1 week ago
Trinity Health Atlanta, United StatesEmployment Type: · Full timeShift: · Day Shift · Description: · Position Purpose: As a Compliance Specialist at Mercy Care Atlanta, you will play a pivotal role in fostering a safer environment by mitigating risks for all individuals within the organization. Reporting to the ...
-
Senior Compliance Specialist
1 day ago
GreenSky® Atlanta, United StatesLegal Compliance Specialist (Licensing) · Job Summary & Responsibilities · YOUR IMPACT · Are you passionate about consumer lending and compliance? We're looking for a licensing specialist to join our consumer legal and compliance team.As the successful candidate, you will develop ...
-
Construction Compliance Specialist
3 days ago
GeorgiaGov Atlanta, United StatesHiring For Southeast GA Region - Savannah, Brunswick, Statesboro · Under general supervision, the Construction Compliance Specialist (CCS) monitors the day-to-day progress of construction projects for the State of Georgia. This includes but is not limited to reviewing work to en ...
-
Compliance Specialist 1
6 days ago
GeorgiaGov Fulton County, United StatesThis Recruitment is Open to the Public · The Georgia Department of Revenue seeks to fill multiple Compliance Specialist 1 positions in the Local Government Services Division. The Division administers all property tax laws and regulations, distributes sales and use taxes to local ...
-
Compliance Licensing Specialist
1 week ago
FirstKey Homes Atlanta, United StatesThe Licensing Compliance Specialist will manage accurate and timely records of rental property and business licenses of FirstKey Home rental properties. ESSENTIAL DUTIES - Maintain records related to rental property, business, and real estate license Licensing Specialist, Complia ...
-
Research Compliance Specialist
1 week ago
Actalent Atlanta, United StatesSeeking 1 Research Compliance Specialist · Onsite in Atlanta, GA · Description: · The Internal Research Monitor provides support for the Research Compliance Program by monitoring clinical trials and following established processes to support compliance with applicable regulations ...
-
Research Compliance Specialist
1 week ago
Actalent Atlanta, United StatesThe Internal Research Compliance Specialist provides support for the Research Compliance Program by monitoring clinical trials and following established processes to support compliance with applicable regulations. · Responsibilities: · * Ensures that research is being conducted i ...
-
Compliance Specialist 2
1 week ago
Georgia Department of Human Services Atlanta, United StatesStronger Families for a Stronger Georgia. The Georgia Department of Human Services (DHS) is a dynamic state agency responsible for delivering a wide range of services to Georgia's most vulnerable populations. Our mission is to strengthen Georgia by p Compliance Specialist, Compli ...
-
Senior Compliance Specialist
1 day ago
Greensky Atlanta, United StatesLegal Compliance Specialist (Licensing) · Job Summary & Responsibilities · YOUR IMPACT · Are you passionate about consumer lending and compliance? We're looking for a licensing specialist to join our consumer legal and compliance team.As the successful candidate, you will deve ...
-
Research Compliance Specialist
1 week ago
Actalent Atlanta, United StatesSeeking 1 Research Compliance Specialist · Onsite in Atlanta, GA · Description: · The Internal Research Monitor provides support for the Research Compliance Program by monitoring clinical trials and following established processes to support compliance with applicable regulations ...
-
Research Compliance Specialist
1 week ago
Actalent Atlanta, United StatesThe Internal Research Compliance Specialist provides support for the Research Compliance Program by monitoring clinical trials and following established processes to support compliance with applicable regulations. · Responsibilities: · + Ensures that research is being conducted ...
-
Compliance Licensing Specialist
1 week ago
FirstKey Homes Atlanta, United StatesSUMMARY OF RESPONSIBILITIES · The Licensing Compliance Specialist will manage accurate and timely records of rental property and business licenses of FirstKey Home rental properties. · ESSENTIAL DUTIES · •Maintain records related to rental property, business, and real estate l ...
-
Agriculture Compliance Specialist 1
5 days ago
GeorgiaGov Fulton County, United StatesWe at the Georgia Department of Agriculture (GDA) take our responsibilities to you very seriously and are committed to protecting and promoting Georgia's agriculture through superior service and leadership. · The vision of the GDA is to continue to be a globally recognized leader ...
-
Compliance Specialist 3 SHBP
1 week ago
GeorgiaGov Atlanta, United StatesFor other DCH career opportunities, · 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 (SH ...
-
Audit and Compliance Specialist
5 days ago
Saddle Rock Legal Group Sandy, United StatesAre you detail-oriented and passionate about ensuring legal and regulatory requirements are met? If so, we have an exciting opportunity for you to join our team as a full-time Audit and Compliance Specialist at Saddle Rock Legal Group in Draper, UT. This auditor position offers a ...
-
Compliance Specialist
2 weeks ago
Trinity Health Atlanta, United StatesAs a Compliance Specialist at Mercy Care Atlanta, you will play a pivotal role in fostering a safer environment by mitigating risks for all individuals within the organization. Reporting to the Manager of Quality and Compliance, you will serve as a k Compliance Specialist, Compli ...
Compliance Specialist 2 - Atlanta, United States - Georgia Department of Community Health
![Default job background](https://contents.bebee.com/public/img/bg-user-ex-1.jpg)
Description
Salary: $57,000.00 AnnuallyLocation : Spalding), GA
Job Type: Full-Time Salaried
Job Number:
Division: Healthcare Facility Regulation Division (HFRD)
Unit: LTC Program 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 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 applicants for the position of Compliance Specialist 2, Long-term Care Unit with Healthcare Facility Regulation Division. This position will document and conduct on-site surveys and require regional travel. Regional travel may require up to 90% overnight travel. Occasional weekend and after-hours work may also be required.
This is a home based position located in the (Northeast Region). Note: All applicants must reside in one of the Zone 6 following counties:
Baldwin, Butts, Clayton, Henry, Jasper, Jones, Lamar, Monroe, Newton, Rockdale, Spalding
Job Responsibilities
Under general supervision, may plan, organize or coordinate the activities of an assigned program. Reviews, monitors and ensures compliance with assigned program area's policies and procedures. Conducts on-site reviews, audits or surveys of clinical and treatment facilities, regulated entity operations and program management.
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.
Note: Possession of a valid Georgia driver's license, which would enable the applicant to drive in Georgia, and use of a car at work, are required for employees in this job.
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:
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.
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?
What is your highest level of education completed?
Are you a current employee of the Georgia Department of Community Health?
Do you have a current Georgia license to practice as a Registered Professional Nurse?
This position is home based in the (Northeast region) of the state. The Compliance Specialist 2 spends an average of four days per week in nursing homes conducting regional survey inspections.What ZONE/COUNTY do you currently reside in?ZONE 6: Baldwin, Butts, Clayton, Henry, Jasper, Jones, Lamar, Monroe, Newton, Rockdale, Spalding).(Banks, Dawson, Forsyth, Gwinnett, Habersham, Hall, Lumpkin, Rabun, Towns, Union, White.
06
Are you a veteran?
This position requires the incumbent to meet the Covid-19 vaccination requirement or request an exemption upon hire. Will you be able to meet one of these requirements?