HEALTH FACILITY SURVEYOR II8203A3 Pay Grade: 29 DEFINITION OF WORK Summary This is specialized supervisory or oversite> work in the survey of health facilities for state licensure and federal certification and in coordinating a quality assurance and improvement program. Work involves overseeing survey activities in a geographical region of the state for the licensure of health care facilities and the certification of providers in the Medicare and Medicaid programs. Work includes reviewing and evaluating official reports of situations and conditions in health care facilities and determining if good health care is being provided and the degree to which the facilities are in compliance with state licensure and federal certification regulations, and recommending the licensure or certification of facilities to a superior. Work also includes training and evaluating subordinates, interpreting state and federal laws and regulations, and coordinating survey activities with those of other agencies, initiating a quality assurance and improvement program, and coordinating compliant investigations. Standard Classification Factors Supervision Received - LEVEL B: "Under general supervision..." Employees working under general supervision usually receive some instructions with respect to the details of most assignments but are free to develop their own work sequences within established procedures, methods and policies. They are often physically removed from their supervisor and subject to only periodic checks. Difficulty - LEVEL C: Considerable - duties which require a high degree of concentration because of the many factors which must be considered and weighed before a decision can be reached. Usually positions that require planning, developing, and coordinating programs and directing fairly large groups of people fall into this category. Complexity - LEVEL D: Work is of a diversified nature that usually involves multiple, unrelated steps. Analytical thought is necessary for dealing with complex data and situations. Work often involves a variety of unrelated processes and may require planning or carrying out a sequence of actions or both. Several alternatives usually exist at this level for approaching problems or situations. Workers at this level exercise a considerable amount of independent judgment. Work is controlled by occasional review and by reporting to or consultation with supervisors or superiors. When guidelines exist at this level, they are usually broadly defined or technical requiring careful analysis and interpretation. Consequences of Actions and Decisions - LEVEL D: Consequences of actions or decisions at this level are significant as the work may be rarely if ever reviewed, making errors difficult to detect. Errors may cause major program failure or a high degree of confusion. Injuries to others due to errors are serious or incapacitating or both and costs due to errors are substantial. Contacts - LEVEL B: The purpose of the contact is to plan, coordinate and advise on work efforts, interpret guidelines or instructions, elicit opinions or give guidance on the basis of facts to resolve common issues or problems when the information is not sensitive in nature or the individuals or groups are working toward mutual goals and have basically cooperative attitudes. Well developed communication skills are required. Physical Demands - LEVEL A: The work is predominantly sedentary and requires minimal or negligible physical exertion. The employee is normally seated; however, the nature of the work allows for periods of standing or walking at will. Environmental Conditions - LEVEL B: The work environment involves moderate hazards, risks or discomforts. Exposure to minor deviations from pleasant environmental conditions is normal. Minor to serious injuries are possible. Supervision/Leadership - LEVEL C: Typically involves limited supervisory responsibility which entails performing as a "first line supervisor" for a small number of employees. Supervision is not the primary responsibility of the job. Responsibility includes training, instructing, scheduling, and reviewing work and recommending hiring and disciplinary actions to a higher level of authority. Distinguishing Features Differs from the Health Facility Surveyor I class where the work is less complex and diverse and does not involve supervisory responsibility. Differs from the Health Facility Surveyor III class where the work involves the management of all survey activities in a geographical region of the state. EXAMPLES OF WORK PERFORMED Supervises and trains the work of specialized staff engaged in the survey of hospitals, skilled nursing and intermediate care facilities, home health agencies, and other health care delivery agencies operating under Medicare and Medicaid directives for state certification and licensure and to determine compliance with Medicare and Medicaid guidelines. Reviews survey reports for completeness; determines if deficiencies are described correctly; recommends the certification or licensure of facilities to an administrative superior. Develops and coordinates a quality assurance and improvement plan for efficient and effective completion of facility surveys. Reviews reports to determine if discovered deficiencies endanger the health or safety of residents. Schedules surveys and complaint investigations; coordinates survey activities with those of other bureaus and state agencies; maintains survey and inspection records. Assigns and reviews the work of subordinates; ensures that work is performed in accordance with technical and administrative guidelines and procedures. Trains and accompanies new surveyors on-site until surveyor performance is at the appropriate level of competency. Interprets laws, regulations, and guidelines to the personnel of health facilities and to subordinates. Serves as a liaison with other state and federal agencies regarding program operations and objectives. Participates in programs of health and educational departments or organizations such as the U.S. Department of Health and Human Services, state agencies and universities, and nursing schools to plan, integrate, and coordinate services which promote and maintain quality patient care. REQUIRED KNOWLEDGE, ABILITIES AND SKILLS Knowledge *Knowledge of computer applications and quality improvement concepts. *Knowledge of the principles and practices of the disciplines providing services to patients and residents in health care facilities. *Knowledge of federal and state laws and regulations related to licensure and certifications of health facilities. *Knowledge of survey process for state licensure and federal certification. Knowledge of the principles and techniques of supervision and management. Abilities *Ability to supervise and evaluate the work of subordinates. *Ability to establish and maintain effective working relationships with professional and administrative officials and employees. *Ability to express ideas effectively, orally and in writing. *Ability to understand and learn new material and responsibilities readily and expeditiously. *Ability to exercise judgment and discretion in the conduct, analysis, and determination of compliance with state and federal regulations and administrative guidelines. *Ability to ascertain facts by personal contact, interviews, records inspection, and observation. *Ability to learn new software applications. *Necessary at Entry MINIMUM REQUIREMENTS: Registered Nurse licensed to practice in Kansas, Social Worker licensed to practice in Kansas, or Bachelor’s Degree in Human Services, and three years work experience in health facility certification. Experience may be substituted for the required education as determined relevant by the agency for the positions that do not require a license. NC: 06/93 |