HCSSA Compliance Reviewer

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.

Job Description

This positon may be filled anywhere in the state.

Under the direct supervision of the Quality Assurance Program Compliance Manager, reviews certification, licensure, and all other long-term care onsite visit reports for compliance with state laws, regulations, and policies and procedures with a primary focus of HCSSA. Assures reports follow established protocols and are accurately documented. Participates in committees, prepare analysis of data for review and identification of staff training needs. Is responsible for assessing compliance using CMS standards and preparing rebuttals as needed. May be preparing and presenting training information to groups of people. Participates in side by side and comparative surveys to provide consultation and assess compliance with state laws, regulations, and policies and procedures in a field environment. 
  
Essential Job Functions

Maintains a regular and predictable work schedule. 
Performs advanced technical and professional reviews for certification surveys, licensure inspections, and investigations conducted in long term care facilities/agencies, with a primary focus of HCSSA, to determine compliance with state/federal requirements and protocols, and Long-Term Care-Regulatory policies and procedures. 
Performs in-depth analysis of qualitative and quantitative program-specific data. 
Performs onsite side by side and comparative surveys to gather data and assess compliance with policies and procedures. 
Interprets statistical evidence and develops work plans, reports, and documentary support for program development and assessment. 
Assess the completion, the accuracy, and quality of survey and inspection activities, reports, and decisions. 
All other duties as assigned.

Registrations, Licensure Requirements or Certifications

RN or LVN preferred.  

Knowledge Skills Abilities

Knowledge of the HCSSA program in Long Term Care Regulatory. 
Knowledge of the principles and methods of field inspection, field investigation, law enforcement, or quality control from HCSSA Regulatory program area. Experience monitoring compliance with policies, procedures and regulations. 
Knowledge of and ability to interpret local, state, and federal laws and regulations relevant to program area. 
Ability to work as a member of a team. 
Ability to organize workloads and set priorities to meet deadlines and function with minimal supervision. 
Ability to prepare concise reports. 
Ability to communicate both orally and in writing. 
Skill in using Microsoft Office software; Word, Excel, Access, Outlook. 

Initial Screening Criteria

Graduation from an accredited four-year college or university.

Experience in the HCSSA program, with specific experience surveying home health and hospice agencies. 
Experience surveying and/or investigating home health and hospice agencies overseen by Long Term Care Regulatory Services. 

Additional Information

Ability to travel occasionally 45% (i.e., monthly) for activities such as side by side and comparative surveys, out-of-town meetings, training sessions or conduct survey activities if needed.  
 
 
 
 
  

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Active Duty, Military, Reservists, Guardsmen, and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Pre-Employment Checks and Work Eligibility:

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form