Health Compliance Inspector Home Care RN (HP III) - HFEMSD

Job Title

Health Professional III

Job Description

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 division licenses certifies and surveys healthcare facilities and services; provides patient safety and healthcare quality programs; recognizes emergency medical service (EMS) education programs; certifies EMS providers and licenses all air and ground ambulance services operating within the state of Colorado. This work unit exists to: (1) protect the health, safety, and welfare of patients/residents of health care facilities in the state of Colorado, by evaluating and securing compliance of licensed and certified facilities and providers, utilizing applicable federal and state laws/regulations and professional standards of practice; and (2) to provide to the public information on health care facilities. This position is staffed by professionals who work independently or as a member of an interdisciplinary team to assess the care, treatment and quality of life provided by various health facilities through observations, interviews, and record reviews. Uses experience, training and judgment in evaluating and applying statutes, regulations, guidelines, policies and procedures on a case-by-case, item-by-item basis for facility compliance/violation. Reviews self-reported occurrences and incidents of serious deficiencies and assesses whether certified and/or licensed health facilities intervened appropriately. Writes statements of deficiencies, identifying areas of noncompliance with federal and state requirements based on survey/investigation results. Acts as resource, educator, and interpreter of regulations for service providers and consumers, based upon established guidelines, policies and procedures.

• On an unannounced basis, independently or as a member of an interdisciplinary team, determines whether the entity is operating in compliance with applicable statutes/regulations.
• Assesses and evaluates health care facility quality of care, services, and treatment of the residents/patients as well as facility practices through observations, record review, as well as interviews with residents/patients, family members, staff, and outside agencies and medical professionals.
• Writes clear, concise, and legally defensible statements of deficiencies based on analysis of the documented findings and extensive knowledge of these laws, regulations and guidelines as set forth in the Centers for Medicare and Medicaid Services (CMS) and State regulations, Principles of Documentation, and program specific protocols, policies and procedures, as applicable.
• Conducts pre-survey preparation activities for the survey team, including the selection of residents for inclusion in the survey sample.
• Directs the team members regarding the survey/investigation plan to ensure all tasks are completed in accordance with established guidelines and protocols.
• 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 current residents of the state of Colorado at the time of applying. CLASS CODE & CLASSIFICATION: Health Professional III (C7C3XX) MINIMUM REQUIREMENTS: 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: Six (6) years of applicable health care in a facility or program regulated by the Health Facilities and Emergency Medical Services Division and a current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or any state participating in the Enhanced Nurse Licensure Compact (eNLC). OR Education & Experience: A combination of related education in Nursing, Public Health, Social Work, or closely related field, and/or relevant experience in health care in a facility or program regulated by the Health Facilities and Emergency Medical Services Division and a current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or any state participating in the Enhanced Nurse Licensure Compact (eNLC) or in an occupation related to the work assigned equal to six (6) years. This experience must be substantiated within the Work Experience section of your application. "See Resume" will not be accepted. In addition, part-time work will be prorated. PREFERRED QUALIFICATIONS: In addition to the minimum requirements, the successful candidate in this position will have the following highly desirable experience and competencies:

• Relevant experience with the State of Colorado
• Clinical experience in acute care, specialized units, home health, hospice, or home care; PDN/vent-trach, wound care, high-risk meds, or transitions of care experience.
• Experience evaluating quality of care, adverse events, incident reviews, and corrective action/POC validation.
• Skilled in trauma-informed and stakeholder-appropriate interviewing (clients, families, staff, external practitioners).
• Track record of clear regulatory narratives, evidence grids, and decision memos that withstand appeal or legal scrutiny.
• Ability to interpret EMR reports, staffing/scheduling data, and quality indicators to target probes and corroborate findings.
• Understands agency operations (governance, QAPI, supervision, delegation) and how they impact bedside outcomes.
• Experience serving as a resource/educator to providers on regulatory expectations and sustainable remediation.

CONDITIONS OF EMPLOYMENT:

• 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.
• On average up to 50% and during peak times up to 75%.
• Must be willing to work occasionally evening, night, weekend, or holidays depending upon circumstances of survey or complaint.
• Special Qualifications: Must maintain RN licensure.
• Physical Demands: Must be able to lift and carry up to 40lbs. of equipment for extended periods of time. Must be able to walk or stand for extended periods of time including walking up and down multiple flights of stairs. Must be able to hold a tablet computer in a standing position. Must be proficient in word processing and able to use current communication technology to connect to the office from the field. Must be vaccinated against COVID19. Must obtain an influenza shot annually prior to the onset of the flu season or wear a mask while on facility/agency premises. Must be willing to work in environments where contagious diseases may be present. Must be willing to perform annual fit testing for N-95 masks, as well as complete annual training on donning and doffing of personal protective equipment (PPE). Once employed in this position, must successfully complete and apply all required surveyor training (unless training is unavailable) within the first six (6) months of service. Requires the use and operation of state fleet vehicles.

Appeal Rights: An applicant who has been removed from an employment list or removed from consideration during the selection process may request a review by the State Personnel Director. As an applicant directly affected by the results of the selection or comparative analysis process, you may file a written appeal with the State Personnel Director. Review of the completed, signed and submitted appeal will be timely on the basis of written material submitted by you, using the official appeal form signed by you or your representative. This form must be completed and delivered to the State Personnel Board by email at View email address on click.appcast.io within ten (10) calendar days from your receipt of notice or acknowledgment of the Department's action. For further information on the Board Rules, you can refer to 4 Colorado Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules.

Supplemental Information

A complete application packet must include:

• Completed State of Colorado application.
• Cover letter: describing how your professional experience aligns with the preferred qualifications of this position.
• If using education to qualify for this position a copy of your transcripts (unofficial acceptable) or diploma must be provided with application. Transcripts must be attached to your colorado.gov/jobs application.
• If you are a veteran, a copy of your DD214 must be attached to your colorado.gov/jobs application.