HEALTH FACILITY SURVEYOR III8204A3 Pay Grade: 31 DEFINITION OF WORK Summary This is management work in the survey of health facilities for state licensure and federal certification. Work involves management of 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 may also include statewide management and supervision of specialized staff and programs which provide quality improvement/assurance services to ensure overall compliance with federal and state requirements. 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, advising and consulting with care providers, responding to inquiries and coordinating survey activities with those of other agencies. Standard Classification Factors Supervision Received - LEVEL D: "Under general direction..." Employees at this level are usually in charge of a large and important organizational unit. They plan and carry out assignments with little supervision. They report regularly to a superior, usually by means of occasional conferences, to discuss work progress or new problems which require advice from above. This designation will pertain to classes with a high order of independence. 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 C: The purpose of the contact is to influence, motivate, conduct interviews, make formal presentations or counsel to achieve common understanding or solutions to problems when the information is sensitive in nature or the individuals or groups are skeptical or uncooperative. Communication techniques and well developed communication skills become an important requirement at this level. 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 D: Involves administrative supervision responsibility. As a "first line supervisor", the primary responsibility involves scheduling, supervising and evaluating employees who perform the same or similar work. Responsible for recommending hiring and disciplinary actions to a higher level of authority. As a "project manager" may direct the activities of project leaders to develop plans and criteria and to evaluate progress and results for one or more projects. Distinguishing Features Differs from the Health Facility Surveyor II class where the work is diverse and is performed under general supervision. Incumbents provide quality assurance and established consistency with survey teams in a geographic region of the state. EXAMPLES OF WORK PERFORMED Supervises a specialized staff within a region of the state, who are 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. Initiates immediate emergency response or action, if necessary, to protect the health or safety of patients. Reviews survey reports for completeness; determines if deficiencies are described correctly; recommends the certification or licensure of facilities to an administrative superior. Reviews survey reports and complaint investigations within their assigned region of the state; coordinates survey activities with those of other bureaus and state agencies; and advises and consults with health care providers to ensure and promote quality patient care. Assigns and reviews the work of subordinates; ensures that work is performed in accordance with technical and administrative guidelines and procedures. Interprets laws, regulations, and guidelines to the personnel of health facilities and to subordinates. Serves as 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 laptop. *Knowledge of medical terminology. *Knowledge of the principles and practices of the disciplines providing services to patients and residents of health care facilities. Knowledge of the principles and techniques of supervision and organizational management. *Knowledge of federal and state laws and regulations related to licensure and certification of health facilities. *Knowledge of the methods, procedures and techniques used to survey health facilities. 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 expediently. *Ability to exercise judgment and discretion in the conduct, analysis and reporting of facilities surveys. *Ability to ascertain facts by personal contact, interviews, records inspection, and observation. *Ability to learn and teach new computer 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 four years work experience in health facility certification and supervision. 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 |