Health Compliance Inspector, RN (HP III)

State of Colorado, Department of Public Health and Envrionment; Denver (CO); On-site; USD 90,000 - 110,000; Full time

Benefits offered by this job

Free parking and RTD bus access

Flexible working arrangements

PERA retirement options; health plans

Paid life insurance

Disability coverage (short/long-term)

11 paid holidays and generous PTO

Tuition assistance

Wellness programs

Professional development opportunities

Career advancement across State system

Job summary

Colorado Department of Public Health and Environment (CDPHE) is seeking an RN Health Professional III to serve on a survey team assessing health care facilities for regulatory compliance. The role focuses on nursing observations, medication pass tasks, and applying CMS/state regulations to determine adherence to standards.

Ideal candidates will have RN licensure, strong writing and communication skills, and the ability to analyze clinical evidence to identify gaps in care.

Qualifications

• RN licensure in Colorado or eNLC.
• Six years of relevant health care facility survey/inspection experience.
• Experience with CMS and state regulations and guidelines.

Responsibilities

• Assess care, treatment, and quality of life provided by health care facilities.
• Conduct nursing observations and medication pass tasks as part of the survey team.
• Write clear statements of deficiencies and identify areas of non-compliance.
• Advise administrators and staff on regulatory requirements and compliance.
• Attend meetings and participate in task forces or projects as assigned.

Skills

RN licensure

Regulatory knowledge

Clinical observation

Report writing

Communication skills

Data analysis

Tools

Electronic documentation systems

Job description

At The Colorado Department of Public Health and Environment (CDPHE) we are dedicated to the Colorado for All philosophy - working toward a Colorado where everyone has the opportunity to succeed.

We support the basic human rights of our neighbors regardless of gender, race, ethnicity, religion, national origin, age, sexual orientation, gender identity, citizenship status, education level, disability, socio-economic status, or any other visible or invisible identity. We are committed to increasing the diversity of our staff and providing culturally responsive programs and services. Therefore, we strongly encourage individuals from diverse backgrounds to apply.

IMPORTANT INFORMATION

• The referral list generated by this position announcement may be used to fill multiple position vacancies and may be extended.
• This position will have hybrid workplace options available, at the discretion of the supervisor and based on business needs. The employee will still be required to report to the agency address listed on this announcement

Be BOLD.....Make a REAL difference . . . join us in serving our communities advancing Colorado's health and protecting the places we live, work, learn, and play, to create a healthy and sustainable Colorado where current and future generations thrive.

CDPHE offers:

• Free parking and access to RTD bus lines.
• Flexible working arrangements
• Retirement ( PERA options), Medical and dental health plans
• Defined Benefit Plan or the PERA Defined Contribution Plan, plus optional 401K and 457 plans
• Paid life insurance
• Short- and long-term disability coverage
• 11 paid holidays per year and generous personal time off
• Tuition assistance
• Wellness programs
• Professional development opportunities on a wide variety of subjects
• Career advancement opportunities throughout the State system

Some positions may qualify for the Public Service Loan Forgiveness (PSLF) Program. For more information, go to: https://studentloans.gov/myDirectLoan/pslfFlow.action#!/pslf/launch

Description of Job

The Work Unit:

The Health Facilities and Emergency Medical Services Division (HFEMSD) is responsible for the oversight and enforcement of a broad range of federal and state statutes and regulations applicable to a wide variety of health care facilities and services in Colorado, including hospitals, clinics, and ambulatory surgical facilities, renal dialysis centers, emergency medical services providers, designated trauma centers, long-term care facilities, and many other specific types of health care services. The division licenses, certifications and surveys of healthcare facilities and services; provide patient safety and healthcare quality programs, recognize Emergency Medical Service (EMS) education programs and certify EMS providers, designate trauma centers and licenses all air ambulance services operating within the state of Colorado.

The acute care section exists to: (1) protect the health, safety, and welfare of patients/of health care facilities in the state of Colorado, by evaluating and securing compliance of licensed and certified facilities and providers, utilizing applicable federal and state laws/regulations and professional standards of practice; and (2) to provide to the public information on health care facilities. Survey in Acute Care facilities: Acute Hospitals, Long Term Acute Care Hospitals, Psychiatric Hospitals, Critical Access Hospitals, Rural Health Clinics, Federally Qualified Health Clinics, Birth Centers, Community Clinics, Community Clinics with Emergency Centers, Free Standing Emergency Departments, End Stage Renal Disease Clinics and Ambulatory Surgical Centers.

What You Will Do:

This position is staffed by professionals who work independently or as a member of an interdisciplinary team to assess the care, treatment and quality of life provided by health care facilities through observations, interviews, and record review. Uses experience, training and judgment in evaluating and applying statutes, regulations, guidelines, policies and procedures on a case-by-case, item-by-item basis for facility compliance/violation. Works as the RN required for the survey team, and conducts nursing observations and medication pass task, and other tasks as applicable. Reviews occurrences and incidents of serious deficiencies and assesses whether licensed health facilities intervened appropriately. Writes statements of deficiencies, identifying areas of non-compliance with federal and state requirements based on survey/investigation results. Acts as resource, educator, and interpreter of regulations for service providers and consumers, based upon established guidelines, policies and procedures.

Key Responsibilities:

• On an unannounced basis, independently or as a member of an interdisciplinary team, determines whether the entity is operating in compliance with applicable statutes/regulations.
• Independently conduct recertification and re-licensure surveys as well as complaint investigations for ambulatory survey centers, dialysis clinics, rural health clinics, federally qualified health clinics, community clinics, department of corrections community clinics, and birth centers.
• RN serves as a clinical resource to determine whether the delivery of nursing care is in accordance with professional standards of practice and whether relevant state and federal requirements are being met at the above-mentioned facility types.
• Assists nurse consultants with hospital and critical access hospital recertification and re-licensure surveys as well as complaint investigations.
• Writes clear, concise, and legally defensible statements of deficiencies based on analysis of the documented findings and extensive knowledge of these laws, regulations and guidelines as set forth in the Centers for Medicare and Medicaid Services (CMS) and State regulations, Principles of Documentation, and program-specific protocols, policies and procedures, as applicable.
• Advises, counsels and provides guidance to facility/agency administrators/staff regarding the purpose/reason for the regulations, and how to/or why areas are non-compliant.
• Attends meetings, serves on task forces or teams, completes projects, and performs other duties as assigned by the supervisor.

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights

Residency Requirement

This posting is only open to residents of the State of Colorado at the time of submitting your application.

Class Code & Classification Description

C7C3XX Health Professional III

Minimum Qualifications:

NOTE: An applicant may meet the minimum qualifications for this job in one of two ways: They may qualify through their work experience alone or through a combination of education and work experience.

Experience Only: Six (6) years of relevant experience in applicable health care in a facility or program regulated by the Health Facilities and Emergency Medical Services Division, or other closely related experience and current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or any state participating in the Enhanced Nurse Licensure Compact (eNLC).

OR

Education and Experience: A combination of related education in Public Health, Healthcare Administration, Nursing, Social Work, or closely related field, and/or relevant experience in applicable health care in a facility or program regulated by the Health Facilities and Emergency Medical Services Division, or other closely related experience equal to six (6) years and and current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or any state participating in the Enhanced Nurse Licensure Compact (eNLC).

**This experience must be substantiated within the Work Experience section of your application. "See Resume" will not be accepted. In addition, part-time work will be prorated.

PREFERRED QUALIFICATIONS:

In addition to the minimum requirements, the successful candidate in this position will have the following highly desirable experience and competencies:

• Experience working in Acute Care Facility Clinical operations such as hospitals, ambulatory surgery centers, and dialysis centers.
• Knowledge of the regulations that apply to acute care facilities and the ability to apply them effectively.
• Excellent written and oral communication skills.
• Ability to analyze facts, data and evidence to arrive at a logical conclusion.
• Ability to analyze and interpret clinical evidence and clinical care to identify gaps.
• Ability to observe, electronically record, and interpret information.
• Competency in technology and equipment used in health care setting (i.e. typing while conducting interviews.
• Ability to use information technology to communicate, manage knowledge, mitigate errors and support decision making.
• Experience and ability to write factually accurate, clear, concise and professional reports.

CONDITIONS OF EMPLOYMENT:

• A pre-employment background check will be conducted as part of the selection process.
• Critical Status: Must be available in the event of an emergency, (e.g., bio-terrorist attack, chemical attack, disease outbreak or all hazards) and be required to report to work immediately at the regular or alternate location. During this time, travel restrictions may be in place.
• Critical Status: Must be available in the event of the activation of the Continuity of Operations Plan (COOP) and be required to report to work immediately at the regular or alternate location. During this time, travel restrictions may be in place.
• TRAVEL:
  • On average up to 50% and during peak times up to 75%
  • At least two weeks per month, typically every other week.
  • On average 2-4 overnights in a hotel when traveling.
  • May travel in a group of 2-3 members
• SPECIAL QUALIFICATIONS:
  • Must maintain RN licensure
• PHYSICAL DEMANDS:
  • Must be able to lift and carry up to 40lbs. of equipment for extended periods of time.
  • Must be able to walk or stand for extended periods of time including walking up and down multiple flights of stairs.
  • Must be able to hold a tablet computer in a standing position.
• Must be proficient in word processing and able to use current communication technology to connect to the office from the field.
• Must be vaccinated against COVID19. * See Note
• Must obtain an influenza shot annually prior to the onset of the flu season or wear a mask while on facility/agency premises. **See Note
• Must be willing to work in environments where contagious diseases may be present.
• Must be willing to perform annual fit testing for N-95 masks, as well as complete annual training on donning and doffing of personal protective equipment (PPE).
• Must be willing to work occasional evenings, nights, weekends, or holidays depending upon circumstances of survey or complaint.
• Once employed in this position, must successfully complete and apply all required surveyor training (unless training is unavailable) within the first six (6) months of service.
• Requires the use and operation of state fleet vehicles.***
• *Note: Fully Vaccinated means two (2) weeks after a second dose in a two-dose series of the COVID-19 vaccine, such as the Pfizer or Moderna vaccine, or two (2) weeks after the single-dose vaccine, such as Johnson & Johnson’s Janssen vaccine, as defined by the most recent State of Colorado’s Public Health Order and current guidance issued by the Colorado Department of Public Health & Environment
• **Religious and medical exemptions and reasonable accommodation shall be addressed as required by law pursuant to the Equal Employment Opportunity Commission’s vaccination guidance.
• *** Conditions apply to use of fleet vehicles such as location and availability.

Appeal Rights:

As an applicant who has been removed from consideration during the selection or comparative analysis process, you may file an appeal with the State Personnel Board and/or request a review by the State Personnel Director. A standard appeal form is available on the State Personnel Board website, https://spb.colorado.gov/forms-and-filing. If you appeal, your appeal must be submitted in writing on the official appeal form, signed by you or your representative, and received at the following address within ten (10) days of your receipt of this notice: Colorado State Personnel Board/State Personnel Director, Attn: Appeals Processing, 1525 Sherman Street, 4th Floor, Denver, CO 80203. Fax: [phone]. Phone: [phone]. Email address: [e-mail]. The ten-day deadline and these appeal procedures also apply to all charges of discrimination. Refer to Chapters 4 and 8 of the State Personnel Board Rules and Personnel Director's Administrative Procedures, 4 CCR 801, for information about the appeals process. The State Personnel Board Rules and Personnel Director's Administrative Procedures are available at spb.colorado.gov.

Supplemental Information

A complete application packet must include:

• Completed State of Colorado application.
• COVER LETTER: describing how your professional experience aligns with the preferred qualifications of this position
• If using education to qualify for this position, a copy of your transcripts (unofficial acceptable) or diploma must be provided with the application. Transcripts must be attached to your colorado.gov/jobs application.
• If you are a veteran, a copy of your DD214 must be attached to your colorado.gov/jobs application.

The Selection Process:

• All applications that are received by the closing of this announcement will be reviewed against the Minimum Qualifications in this announcement.
• Candidates who meet the minimum qualifications proceed to the next step.
• Colorado Revised Statutes require that state employees are hired and promoted based on merit and fitness through a comparative analysis process.
• Part of, or all of, the comparative analysis for this position may be a structured application review, which involves a review of the information you submit in your application materials by Subject Matter Experts (SMEs) against the preferred qualifications.
• A top group, up to six candidates, will be invited to schedule an interview with the hiring manager.

E-Verify:

CDPHE uses e-Verify, an Internet-based system, to confirm the eligibility of all newly hired employees to work in the United States. Learn more about E-Verify, including your rights and responsibilities.

ADAAA Accommodations:

The State of Colorado believes that equity, diversity, and inclusion drive our success, and we encourage candidates from all identities, backgrounds, and abilities to apply. The State of Colorado is an equal opportunity employer committed to building inclusive, innovative work environments with employees who reflect our communities and enthusiastically serve them. Therefore, in all aspects of the employment process, we provide employment opportunities to all qualified applicants without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity or expression, pregnancy, medical condition related to pregnancy, creed, ancestry, national origin, marital status, genetic information, or military status (with preference given to military veterans), or any other protected status in accordance with applicable law. The Colorado Department of Public Health and Environment is committed to the full inclusion of all qualified individuals. As part of this commitment, our agency will assist individuals who have a disability with any reasonable accommodation requests related to employment, including completing the application process, interviewing, completing any pre-employment testing, participating in the employee selection process, and/or to perform essential job functions where the requested accommodation does not impose an undue hardship. If you have a disability and require reasonable accommodation to ensure you have a positive experience applying or interviewing for this position, please direct your inquiries to our ADAAA Coordinator at [e-mail] or call 303-692-2060, option 5.