Licensing & Certification Specialist (Technician III) Licensing & Certification Section - HFEMSD

Job Title

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 healthcare facilities and services in Colorado, including hospitals, clinics, ambulatory surgical facilities, renal dialysis centers, emergency medical services providers, designated and non-designated trauma centers, long term care facilities and many other specific types of healthcare services.

The Licensing & Certification Program within the Office of Facility Support Services performs the administrative licensing, certification, and survey processing duties in HFEMSD. Each new license or certification requires an on-site inspection. This unit sets up the record to allow the surveyor inspectors to complete their work. This includes collecting and reviewing application documents for accuracy and completeness, and requesting that on-site surveys be conducted when appropriate. At the conclusion of the on-site survey, this unit performs a quality assurance check on the investigation that was completed, communicates with both state and federal partners, and completes the record by issuing a license or recommending approval of certification. This process is standardized for each facility type, but differs across different facility types and requires a wide breadth of knowledge in the different processes.

What You Will Do:

This position provides support to the licensure and certification programs that are responsible for regulatory activities related to Medicare and Medicaid federal and state certification, as well as state licensing. This position processes a high volume of complex licensure and certification actions to ensure both compliance with standards and the accurate transfer of data from one system to another. This position implements procedures and guidelines established for the work unit and assists with the development and implementation of the work unit's goals and objectives consistent with statutory authority and supporting the Department's mission and goals. This position must be proficient in Word, Excel, and Google applications including drive, docs, sheets and forms. This position analyzes fee schedules and provider services to determine appropriate fees for licensure. This position is responsible for supporting the electronic application for licensure and survey, as well as responding to frequently asked questions from providers. The information and situations presented in this role can be complex. This position troubleshoots and reports to the work unit supervisor and program manager problems with the processing of transactions related to healthcare providers for licensure and certification surveys. This position tests system changes, explains system functionality, rules, and procedures to others. This position works directly with the work lead(s), supervisor, survey programs, and management to accomplish all required duties.

Key Responsibilities:

• Processes a high volume of licensing and certification actions, including but not limited to initial licensing, renewal licensing, and alternate licensing (e.g. changes of ownership, changes of information, conditional and provisional licensing, closures), certification, recertification and other certification actions (e.g. changes in ownership, termination) for all provider types.
• Ensures data verification support to the licensure and certification programs.
• In conjunction with the work lead, assists with the development and implementation of systems and work flow to process large volumes of incoming licensure and certification applications.
• Under the guidance of a work lead or supervisor, analyze multiple complex fee schedules against providers' services to determine appropriate fees for licensure.
• Communicate with licensed facilities to ensure licensing fees are paid.
• Creates and utilizes spreadsheets to track licensure and certification information
• Compiles information for reports to Program Managers and Fiscal Staff.
• Under direction of a work lead or supervisor, interacts with the public in responding to a high volume of complex questions regarding licensure and certification.
• Composes correspondence to facilities about licensing and certification actions that are necessary.
• Attends meetings, serves on task forces or teams, completes projects, and performs other duties as assigned by the supervisor.

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights

Residency Requirement:

This posting is only open to residents of the State of Colorado at the time of submitting your application. Class Code & Classification Description: H4M3XX Technician III Minimum Qualifications: NOTE: An applicant may meet the minimum qualifications for this job in one of two ways: They may qualify through their work experience alone or through a combination of education and work experience.

Experience Only: Three (3) years of relevant experience in processing licensing and certification actions (i.e. renewal licensing, alternate licensing), regulatory compliance, healthcare administration, records management, administrative, or other closely related experience.

OR

Education and Experience: A combination of related education in Healthcare Administration, Public Health, Business Administration, Health Information Management, or closely related, and/or relevant experience in processing licensing and certification actions (i.e. renewal licensing, alternate licensing), regulatory compliance, healthcare administration, records management, administrative, or other closely related experience, equal to three (3) years.

You must substantiate that you meet the minimum qualifications when filling out the Work Experience section of the application. Failure to do so will result in the application not moving forward in the hiring process. "See resume" will not be accepted. Resumes are considered supplemental information and are not considered in the initial evaluation. In addition, part-time work will be prorated when determining whether minimum qualifications are met.

PREFERRED QUALIFICATIONS:

In addition to the minimum requirements, the successful candidate in this position will have the following highly desirable experience and competencies:

• Experience working in a regulatory setting, with the ability to read, interpret, and comply with complex state and federal regulations and statutes, as well as policies and procedures.
• Excellent written and oral communication skills.
• Experience and ability to work with Microsoft programs such as Word, Excel, and Google Applications, including the ability to create, manage, and utilize files and documents in Google Drive.
• Excellent interpersonal skills with ability to effectively manage and resolve conflicts, confrontations, and disagreements in a positive and constructive way.
• Strong analytical and reasoning skills.
• Ability to review and compare documents with great detail, recognizing errors or missing information while comparing multiple documents.
• Accurate/speedy data processing skills.
• Thoroughness when performing work and conscientiousness in attention to detail.
• Ability to effectively communicate both orally and in writing with a wide range of individuals.
• Ability to use sound judgement, investigative skills, and internal process documents and resources to process complex licensure and certification actions that are often incomplete or require additional research.
• Ability to ensure the correct transfer of data from one system to another, both automated and manual.
• Ability to respond to a high volume of frequently asked questions from providers about certification and licensure.
• Ability to explain systems, rules and procedures to others and work directly with healthcare providers and management.
• Ability to use information technology to communicate, manage knowledge, mitigate errors and support decision-making.
• Self-starter who is organized and multi-task oriented.

CONDITIONS OF EMPLOYMENT:

• Residency Requirement: This posting is only open to residents of the State of Colorado at the time of submitting your application.
• A pre-employment background check will be conducted as part of the selection process.
• Critical Status: Must 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.
• Critical Status: Must 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.

Appeal Rights:

As an applicant who has been removed from consideration during the selection or comparative analysis process, you may file an appeal with the State Personnel Board and/or request a review by the State Personnel Director. A standard appeal form is available on the State Personnel Board website, If you appeal, your appeal must be submitted in writing on the official appeal form, signed by you or your representative, and received at the following address within ten (10) days of your receipt of this notice: Colorado State Personnel Board/State Personnel Director, Attn: Appeals Processing, 1525 Sherman Street, 4th Floor, Denver, CO 80203. Fax: View phone number on click.appcast.io. Phone: View phone number on click.appcast.io. Email address: View email address on click.appcast.io. The ten-day deadline and these appeal procedures also apply to all charges of discrimination. Refer to Chapters 4 and