Complaint, Compliance, and Enforcement Supervisor

okgov; Oklahoma; On-site; USD 70,000 - 83,000; Full time

Benefits offered by this job

Generous state paid benefit allowance

Retirement Savings Plan with generous

15 days vacation and 15 days sickleave

11 paid holidays a year

Student Loan repayment options

Longevity Bonus

Job summary

OKLAHOMA STATE DEPARTMENT OF HEALTH seeks a Complaint, Compliance, and Enforcement Supervisor to manage intake, triage, and enforcement for Medical Facilities Service. The role focuses on overseeing staff, ensuring documentation, and applying CMS guidance to investigations.

The position requires nursing knowledge and the ability to assess compliance with state and federal laws, with a full-time schedule and competitive benefits.

Qualifications

• CMS initial, on-going, and annual training completed.
• Nursing or health care background to assess and capture complaint allegations.

Responsibilities

• Complete CMS initial, on-going, and annual training to ensure knowledge of the complaint process, rules, statutes, and guidance.
• Receive incoming complaints and inquiries for all facility types under the Medical Facilities Service.
• Document all complaints into the intake system during the intake process.
• Attempt contact with complainants for 100% of intake cases and document attempts with dates/times.
• Assign relevant allegations to complaints based on applicable statutes, regulations, and CMS guidance.
• Notify applicable manager for high-priority complaints to place on the survey calendar.
• Ensure intake staff follow all requirements timely and accurately.
• Use nursing/healthcare background to assess allegations of noncompliant practices.
• Maintain confidentiality of all complaints.

Job description

Job Posting Title

Complaint, Compliance, and Enforcement Supervisor

Agency

340 OKLAHOMA STATE DEPARTMENT OF HEALTH

Supervisory Organization

340 Medical Facilities Service

Job Posting End Date

Refer to the date listed at the top of this posting, if available. Continuous if date is blank.

Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above.

Estimated Appointment End Date (Continuous if Blank)

Full/Part-Time

Full time

Job Type

Regular

Compensation

The annual salary for this position is up to $83,000.00, based on education and experience.

Why you'll love it here!

RESPECT. COLLABORATION. SERVICE. The Oklahoma State Department of Health (OSDH) is committed to leading Oklahoma to prosperity through health. Our mission is to protect and promote health, prevent disease and injury, and cultivate conditions by which Oklahomans can thrive. Check out why we are passionate about public health and believe it is the career for you!!!

Oh yeah, did we mention perks? We know that benefits matter and that is why we offer a competitive benefits package for all eligible employees.

• Generous state paid benefit allowance to help cover insurance premiums.
• A wide choice of insurance plans with no pre-existing condition exclusions or limitations.
• Flexible spending accounts for health care expenses and/or dependent care.
• Retirement Savings Plan with a generous match.
• 15 days of vacation and 15 days of sick leave the first year for full time employees.
• 11 paid holidays a year.
• Student Loan repayment options & tuition reimbursement.
• Employee discounts with a variety of companies and venders.
• Longevity Bonus for years of service

Job Description

Location : 123 Robert S Kerr, OKC

Salary : up to $83,000.00, based on education and experience

Full Time /Part Time : Full Time

Work Schedule : Monday - Friday

Primary Hours : 8-5

Position Description: The Complaint, Compliance and Enforcement Supervisor is responsible for receiving, entering, and triage state and federal complaints for all Medical Facilities based on priorities and triage levels established by CMS and provides and assists with enforcement services. The Complaints, Compliance and Enforcement Supervisor will directly supervise complaints and enforcement personnel and complete routine survey activities.

Position Responsibilities/Essential Functions:

• Responsible for completing all required CMS initial, on-going, and annual training to ensure knowledge of the complaint process, rules, statute, and guidance.
• Receives incoming complaints and associated calls and inquiries for all facility types that fall under the Medical Facilities Service.
• Ensures all complaints are immediately documented into the complaint system/database during the intake process.
• Ensures self and staff attempts contact with complainant for 100% of complaint intakes to obtain additional needed information. Ensure contact is attempted no less than three times by self and intake staff. Ensures all attempted contact is documented with dates and times in the intake database.
• Ensures relevant allegations are assigned to complaints based on applicable federal or state statute, regulation, and CMS guidance.
• Ensures notification of intake is provided to applicable manager for review to facilitate high level complaints being immediately placed on the survey calendar.
• Ensures complaint staff are knowledgeable and following all intake requirements timely.
• Ensure use of nursing and health care background to assist in assessing and capturing the complaint allegations to associate with noncompliant practices.
• Ensures the confidentiality of all complaints received.
• Receives, reviews, and provides guidance on complaint intake priority based on knowledge of performing technical direct and indirect health care in a clinic, hospital, home care agency, hospice, or ambulatory surgery center, under the direction of a professional nurse, physician, or dentist.
• Provide guidance to intake staff on triage/priority based on sound nursing skills obtained through carrying out the nursing process.
• Use nurse training and practice assessing evaluation of responses to interventions, assessment, development of plans of care, proper administration of medication, and facility compliance with its own policy/procedure and compliance with federal, state and local laws, regulation and guidance.
• Analyzes and evaluates surveys to identify patient/client abuse and neglect and other deficiencies of health facilities/agencies and determine appropriate enforcement actions.
• Process immediate jeopardy and actual harm determinations; provide guidance regarding penalties and certification actions.
• Analyzes and evaluates certification or licensure surveys to determine compliance or non-compliance for initial or continued participation in state and federal programs. Coordinates with state and federal agencies to convey compliance or non-compliance for initial or continued participation in state and federal prog