Complaint, Compliance, and Enforcement Supervisor

340 OKLAHOMA STATE DEPARTMENT OF HEALTH; Oklahoma City (OK); On-site; USD 75,000 - 91,000; Full time

Benefits offered by this job

Generous state paid benefit allowance

Wide choice of insurance plans

Flexible spending accounts (FSA)

Retirement Savings Plan with match

Vacation and sick leave (15 days each)

11 paid holidays

Student Loan repayment options

Employee discounts

Longevity Bonus

Job summary

340 Oklahoma State Department of Health seeks a Complaint, Compliance and Enforcement Supervisor to lead intake, triage, and enforcement for Medical Facilities. The role oversees staff, ensures timely documentation, and applies CMS guidance to determine appropriate actions.

The position requires a nursing license with extensive RN experience or a BSN with eight years of RN experience, and strong leadership and communication skills to coordinate with state and federal agencies.

Qualifications

• Must have a valid permanent Oklahoma nursing license to practice professional nursing or a bachelor’s degree in nursing with 8 years of RN experience.
• Experience leading complaint intake, triage, and enforcement activities within healthcare facilities.

Responsibilities

• Receive, review, and triage state and federal complaints for Medical Facilities.
• Supervise complaints and enforcement personnel and oversee survey activities.
• Ensure compliance with CMS guidelines, state statutes, and regulations; coordinate with agencies.

Skills

Leadership

Communication skills

Nursing knowledge

Education

Bachelor's degree in nursing

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.

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 statue, 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 programs.
• Tracks enforcement action and recommends appropriate remedies.
• Analyzes and evaluates the certification actions of state and federal programs to determine completeness to ensure all state and federal documents are included and all requirements are met.
• Consults and advise providers regarding the certification process to help facilitate reimbursement for providers and provide guidance regarding compliance or non-compliance with state and federal regulations/laws as well as subsequent applicable remedies recommended and/or imposed.
• Develop periodic staff reports, administrative audits, program activities and other information to evaluate program effectiveness, quality of service, and effective supervision of assigned staff.
• Being present at the office is an essential function of the job.
• Other duties as assigned.

Other Duties:

• Demonstrates knowledge of and supports mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior.
• Works effectively in team environment, participating and assisting their peers.

Minimum Qualifications:

• Requirements include possession of a valid permanent Oklahoma license as approved by the Oklahoma Board of Nursing or recognized by the Enhanced Nurse Licensure Compact (eNLC) to practice professional nursing and nine (9) years of experience as a registered nurse OR a bachelor’s degree in nursing and eight (8) years of experience as a registered nurse.

Preferred Certifications:

• CMS Hospital Training.
• CMS EMTALA Training.
• CMS CAH Training.
• CMS Home Health Training.
• CMS Hospice Training.

Application Requirements: If education, certification or licensure is required to meet qualifications, applicants must provide documentation at the time of application. All applicants are subject to a background check and must be legally authorized to work in the United States without visa sponsorship.

Valued Knowledge, Skills and Abilities Knowledge of Oklahoma rules and statutes for multiple facility types. Knowledge of a variety of leadership practices, motivational techniques, management styles, and supervisory practices and principles; ability to apply necessary skills appropriately across a wide range of circumstances; excellent written, verbal, and interpersonal communication skills; ability to build relationships within the agency and outside the organization; ability to think critically and prioritize the agency mission, vision, and values; ability to pull data from various systems to identify trends, patterns, and opportunities for improvements.

Physical Demands and Work Environment: Work is typically performed in an office setting with climate-controlled settings and exposure to moderate noise levels. While performing the duties of the job, employees are required to talk, stand, walk, and reach with hands and arms. This position requires long periods of sitting and daily use of computers and phones. Employees must be willing to complete all job-related travel associated with this position. Being present at the office is an essential function of the job.

Equal Opportunity Employment The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability. Current active State of Oklahoma employees must apply for open positions internally through the Workday Jobs Hub.

Agency Contact Oklahoma State Government is the largest employer in the state of Oklahoma, employing over 35,000 diverse and talented employees in more than 100 state agencies, boards and commissions. Our workplaces can be found across the state from Boise City to Idabel, Hollis to Miami, and everywhere in between. To learn more about our state agencies, visit here.

Industries: Government Administration

Worker Size: 10,001+ Employees

Headquarters: Oklahoma City, Oklahoma

Utilizing the Office of Veterans Placement provides eligible veterans additional services and interview opportunities for State of Oklahoma employment.