Health Compliance Inspector Behavioral Health & Community Services IDD - HFEMS FAA02049

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, numbering approximately 3,200 facilities, including hospitals, clinics, 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, recommends certification and conducts routine surveys (sampling inspections) for healthcare facilities and consumer services; provides consumer safety and healthcare quality programs; recognizes Emergency Medical Service (EMS) education programs and certifies EMS providers; and licenses all air ambulance services operating within the state.

This work unit exists to: (1) protect the health, safety, and welfare of patients/residents 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.

• On an unannounced basis, independently or as a member of an interdisciplinary team, surveys (inspects) Home and Community based services with Intellectual and Developmental Disabilities (IDD) to determine whether the entity is operating in compliance with applicable statutes/regulations.
• Assesses and evaluates health care facility quality of care, services, and treatment of the residents/patients as well as facility practices through observations, record review, as well as interviews with residents/patients, family members, staff, and outside agency and medical professionals.
• Collects and documents evidence and survey results based upon observations, interviews and record review. Analyzes the evidence and survey results in order to determine whether and how the health care facility is out of compliance with applicable statutes and regulations.
• Uses judgment and experience in choosing specific regulations to be cited. 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.
• Advises healthcare facility providers, healthcare consumers, and other governmental agencies regarding regulatory requirements.
• Decides what inspection areas identified as non-compliant will be cited and then decides the specific regulation that the deficiency should be cited under.
• Investigates complex complaint allegations, analyzes the data gathered during the investigation, determines whether the allegations of regulatory noncompliance are substantiated and, if substantiated, determines the appropriate regulatory citations to be issued.
• 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 various health 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.
• Reviews self-reported occurrences and incidents of serious deficiencies and assesses whether certified and/or 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.
  

MINIMUM QUALIFICATIONS / must meet one of the following options below:

This experience must be substantiated within the Work Experience section of your application. Please be sure to enter all relevant job history within the last 10 years. "See Resume" and missing relevant employment will not be credited towards the minimum qualifications. 


Option 1, Experience:
Six (6) years providing applicable health care in an Intellectual and Developmental Disability (IDD) or similar program regulated by the Health Facilities and Emergency Medical Services Division.

OR

Option 2, Education & Experience:
Two (2) years of professional health care in an Intellectual and Developmental Disability (IDD) or behavioral health facility or program regulated by the Health Facilities and Emergency Medical Services Division AND graduation from an accredited college or university with a bachelor's degree in Public Health, Social Work, or closely related field.

Substitutions:
An advanced degree (Master's or Doctorate) will substitute for the required experience on a year-for-year basis.
*Please include copies of your unofficial transcripts if you are using education to substitute for years of experience. 

Cover Letter Requirement:
Along with the application submit a cover letter, not to exceed two typewritten pages, double spaced detailing how your education and previous work experience has prepared you to excel in this job. Specific examples of determining and/or demonstrating compliance with regulations or evidence-based practice should be included as well as how you meet the minimum and preferred competencies for the position. Part of, or all of, the comparative analysis for this position will involve a review of the information you submit in your application and cover letter.
 
 Conditions of Employment: 

• A pre-employment background check
• Must work in environments where contagious diseases may be present (appropriate personal protective equipment and procedural protocols will be provided).
• 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.
• 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
• Must be proficient in word processing and able to use current communication technology to connect to the office from the field.
• Must obtain an influenza shot annually prior to the onset of the flu season or wear a mask while on facility/agency premises. *See exemption note below
• Must be vaccinated against COVID19. **See note below
• Must perform annual fit testing for N-95 masks, as well as complete annual training on donning and doffing of personal protective equipment (PPE).
• Be available to work an occasional evening, night, weekend, or holidays depending upon circumstances of survey or complaint.
• Ability and willingness to travel independently or with a group of other health professionals up to 50% of the time throughout Colorado. Requires the use and operation of state fleet vehicles. ***conditions apply 
• Must be able to lift and carry up to 45 lbs. of equipment for extended periods of time.
• Must be able to walk or stand for extended periods of time including climbing multiple flights of stairs. Must be able to hold a tablet computer in a standing position.

• Proficiency in fundamental computer skills such as navigating operating systems, using basic software applications, and communicating through email is required.
• Relevant years of State service contribute to a candidate's position-related knowledge, skill, ability, behavior or other posted competency should be considered and given weight under the process.
• Healthcare experience, preferably in IDD but would consider others such as home care/nursing home or other health agencies.
• Experience working on quality improvement efforts in keeping with applicable regulations.
• Experience with evaluating a healthcare facility's quality of care, services, and treatment of the residents/clients. 
• Experience to evaluate facility practices through observations and record review.
• Experience with conducting interviews with residents/patients, family members, staff, outside agencies and medical professionals.
• Experience with analyzing evidence and survey results to determine if and why a healthcare facility is out of compliance with applicable statutes and regulations.
• Experience writing clear, concise, and legally defensible statements of deficiencies.
• Experience and proficiency in word processing and able to use current communication technology. 
• Ability to analyze and interpret clinical evidence and observe, record, and interpret information. 
• Ability to perform the physical demands of this active position.
• Thoroughness when performing work and conscientiousness in attention to detail.
• Ability to gather relevant information; identify and analyze problems using sound reasoning to arrive at conclusions. Model high standards of honesty, integrity, trust, openness and respect for individuals.
• Ability to speak and write clearly and concisely.
• Interpersonal and Conflict Management Skills- Displays understanding, courtesy, tact, empathy, and concern; develops and maintains effective relationships; deals skillfully with people who are difficult, hostile or distressed; effectively manages and resolves conflicts, confrontations and disagreements in a positive and constructive way; does not avoid conflict when it can produce better solutions.
• Ability to assess consumer care, treatment and quality of care and life as provided by health care facilities through observations, interviews, and record review.
• Experience and ability to write factually accurate, clear, concise and professional reports.
• Ability to analyze the information and reach logical well-supported conclusions.

A completed State of Colorado application includes:

• Unofficial transcripts if using education to substitute for experience.
• Cover letter stating how you meet the minimum qualifications for this role.
• DD214 if claiming veterans status

ADAAA Accommodations: Any person with a disability as defined by the ADA Amendments Act of 2008 (ADAAA) may be provided a reasonable accommodation upon request to enable the person to complete an employment assessment. To request an accommodation, please contact Jim Davidson at jim.davidson@state.co.us at least five business days before the assessment date to allow us to evaluate your request and prepare for the accommodation. You may be asked to provide additional information, including medical documentation, regarding functional limitations and type of accommodation needed. Please ensure that you have this information available well in advance of the assessment date.