Job Summary:

Conducts reviews of providers for compliance with rules, regulations, standards, and policies, primarily focusing on crisis services such as our Crisis Stabilization Units and Behavioral Health Crisis Centers. Conducts compliance surveys of facilities for adherence to Department rules and regulations, primarily focusing on Adult Residential Mental Health Programs (ARMHP). Acts as subject matter expert in required area (counseling, nursing, behavior, etc.). Supports the development or expansion of CSUs and BHCCs throughout the state. Functions as a resource within the Division of Strategy, Technology, and Performance based upon the critical needs at any given time.

Primary Responsibilities:

Maintains working knowledge of all rules and regulations, requirements, policies, provider manuals etc. that are used to evaluate provider performance and compliance.
Evaluates provider performance and draws conclusions based on evidence provided to develop findings of deficiency and/or to certify a provider or to determine license eligibility.
Plans, schedules and implements compliance surveys, as assigned.
Prepares detailed, thorough, and accurate review findings and reports by incorporating data analysis, data interpretation, policies and rules which describe complex and/or technical information that can sustain legal challenge.
Works closely with other staff to ensure review survey instrument adequately reflects provider requirements, policy, rules, regulations, laws, etc.
Acts as subject matter expert in field of expertise (counseling, nursing, behavior, etc.).
May serve as team lead during reviews.
Requests and evaluates corrective action plans. Provides timely feedback to providers throughout the corrective action plan process. Evaluates evidence of implementation of corrective actions, via documentation or onsite review.
Maintains records in accordance with State and Federal laws at all times.
Completes accurate, thorough, and timely entry of data into multiple databases.
Communicates effectively, verbally and in writing, with providers and other stakeholders, including other DBHDD offices and divisions.
Provides technical assistance to providers regarding policy, rules, and regulation requirements.
Completes health and safety risk reviews to determine risks within provider services and certification eligibility.
Uses critical thinking to determine risks to individuals being served.
Represents DBHDD professionally during all interactions with providers and stakeholders.
May provide support to the development or expansion of CSU/BHCCs
Travels statewide, approximately 50%, as needed.