Nature of Work
This position has a crucial role in maintaining and reviewing regulatory compliance determinations for Medicare certification, Medicaid regulations, and West Virginia state licensure within the Office of Health Facility Licensure and Certification. The selected candidate will oversee inspections and investigate complaints across a variety of healthcare settings, ensuring quality care for residents, patients, and consumers.
Key Responsibilities
- Compliance Reviews: Conduct and evaluate complex regulatory compliance for healthcare facilities, including but not limited to: nursing homes, hospitals, behavioral health centers, and assisted living residences.
- Compliance Determinations: Review quality-of-care investigation determinations for healthcare facilities.
- Data Management: Maintain, consolidate, and analyze data related to inspections, investigations, licensure, certification, and enforcement.
- Reporting: Prepare and submit detailed reports and correspondence based on findings from investigations and inspections.
- Team Support: Provide assistance as needed with various tasks related to healthcare facility compliance.
- Program Applications: Learn and use program-specific computer applications to assist in daily operations.
Requirements
- Valid driver’s license
- Ability to work independently
- Excellent oral and written communication skills, with the ability to generate clear, concise reports
- Familiarity with or willingness to learn new software programs
- Willingness to undergo a background check, which may include criminal, driving, abuse registry, and employment history
Minimum Qualifications
Training: Bachelor’s degree from an accredited college or university with a major in nursing, social work, vocational rehabilitation, hospital or health care administration, nutrition, psychology, counseling, medical records management, clinical laboratory or related sciences, recreation, speech, physical or occupational therapies or other related health/social services/educational fields or safety, engineering or architectural design.
OR
Substitution: Any combination of experience as described below may substitute for the required training on a year-for-year basis.
AND
Experience: Three (3) years of full-time or equivalent part-time paid professional experience in public health, social work, nursing, vocational rehabilitation, hospital administration or related health program, safety, engineering or architectural design, as a building maintenance supervisor OR as a paramedic or emergency medical technician.
OR
Substitution: A Master's degree in one (1) of the above areas may substitute for one (1) year of the required experience.
Preferred Qualifications
Preference will be given to candidates with:
- Experience with data management and report generation
- Experience in healthcare, particularly in compliance, investigations, or regulatory roles
Special Hiring Rate:
$43,192.864 - Office of the Inspector General
