DSHS ALTSA Compliance Specialist

• Exercise delegated authority from the Headquarters Operations Office Chief to make enforcement decisions based on reports of care and service deficiencies in longterm care programs statewide; programs include nursing home assisted living facilities and adult family homes. Make enforcement and program recommendations to the Headquarters Operations Office Chief.
• Analyze research and review enforcement action documents including the statement of deficiencies to ensure that they are legally defensible.
• Ensure that the Departments enforcement actions are consistent timely and accurate in accordance with federal and state laws and regulations.
• Monitor ongoing state and federal litigation and represents the Department/field staff and/or testifies at administrative hearings related to enforcement actions statewide. Testify in other litigation as necessary.
• Review enforcement document recommendations with the field managers headquarters quality improvement coordinator and track and trend for changes needed or training purposes.
• Coordinate settlement agreements with multiple Attorney General Offices. Ensure Department implementation of terms of settlements or hearing final orders issued through the Office of Administrative Hearings or the Board of Appeals.
• Serve as point of contact to communicate and coordinate with the Office of the State Fire Marshal for survey and certification activities in ICF/IID programs and certified group training homes (GTH).

• Serve as professional resource and disseminate specialized knowledge and expertise about federal and/or state laws and regulations and processes and procedures related to longterm care program compliance. Some responsibilities include:
  • Provide individualized technical assistance regarding interpretations to the IDR Program Managers.
  • Give clear and concise oral and written presentations at internal statewide meetings related to the CCRSS and ICF/IID programs.
  • Provide training and orientation to new staff on enforcement and legal aspects of compliance decisions.
  • Collaborate and coordinate professional workgroups and meetings (e.g. with provider organizations other regulatory entities the long term care ombudsman Medicaid fraud etc..
  • Active participant providing subject matter expertise in compliance issues related to change of ownership and troubled providers and facilities during scheduled meetings with internal and external customers.
  • Review enforcement notices and make recommendations to upper management.
  • Provide regulatory centered presentations and education to external audiences as requested by the Headquarters Operations Office Chief.
  • Closely collaborate with the Policy Unit by contributing to policy development providing input and reviewing changes in policy and regulations and determining impacts to RCS staff and analyzing best practice applications related to enforcement and compliance issue.
    
    
• Special projects and other duties as assigned. Responsibilities include:
  • Research and respond to logged assignments from the Governor Secretary Assistant Secretary Director and Headquarters Operations Office Chief.
  • Develop implement and monitor internal procedures and processes. Analyze and integrate the information.

• You will be responsible for determining if the field staff make compliance and enforcement decisions consistently and in accordance with federal and state law. The decisions of the position are supported by established law WAC policy or procedure. With delegated authority of the Compliance Unit Manager you will make the determination to impose and lift specific types of enforcement actions.
  
  
• You will make both tactical and strategic decisions. The face of longterm care is changing and you have to be aware of and implement related regulatory and process changes. This requires that you do a considerable amount of analysis and research before making decisions or taking recommendations to management. Under most circumstances you can make decisions without taking them to a higher level.
  
  

• Bachelors of Science in Nursing (BSN) AND
• Must have at least three years of postdegree experience in clinical field AND
• Must have at least two years of experience reading writing and analyzing documents in determining areas of compliance AND
• Must have at least two years of experience working with vulnerable individuals in a community or a facilitybased setting in a professional level; AND
• A valid license to practice as a Registered Nurse in the State of Washington is required at the time of hire.

Preferred / Desired education experience and competencies:

• Masters degree in Nursing
• Program management skills and abilities.
• Ability to work well independently and as part of a team with initiative discretion tact and sound independent judgment.
• Ability to act as fair and impartial evaluator if citations/findings.
• Ability to synthesize analyze and evaluate complex issues and multiple perspectives in order to make critical decisions and problem solve.
• Ability to analyze laws regulation and statements of deficiencies.
• Ability to understand intent of regulations within the legal parameters as specified by state law and regulations.
• Excellent oral and written communication skills.
• Ability to organize findings and develop a detailed written report.
  
  

• Chronological resume
• A cover letter explaining why your skills and experience make you the best person for the job
• Three professional references with current contact information

The Department of Social and Health Services (DSHS) vision that people find human services to shape their own lives requires that we come together with a sense of belonging common purpose shared values and meaningful work. It is crucial to our agencys vision that you bring an equity antiracism and social justice commitment to your work with DSHS. We strive to create greater access and affirming representation of the communities we serve including Black Indigenous and People of Color people with physical behavioral health and intellectual disabilities elders LGBTQIA individuals immigrants and refugees and families building financial security.