Health Professional III- MHTL Compliance Specialist

The CDHS Office of Civil and Forensic Mental Healths Transitional Living Homes Program was created to increase bed capacity for persons in need of residential behavioral health treatment. House Bill (HB) 221303 has authorized new beds to be used for persons needing residential services at a less restrictive level of care and to reduce and eliminate the backlog of such persons in more restrictive settings. HB 221303 directs the Department of human services (department) and the Department of health care and Policy Financing to create develop or contract to add at least 125 additional beds at mental health residential treatment facilities (treatment facilities) throughout the state for adults in need of ongoing supportive services. The bill also requires that the department renovate a building at the mental health hospital at Fort Logan to create at least 16 additional civil beds for such persons. These beds serve as a stepdown option from inpatient care and as a stepup when deemed medically necessary and lowerlevel of care settings can no longer adequately and safely provide effective care.

About the Position:

This position exists to conduct followup regarding grievances investigate incident reports accordingly review and analyze data and share with the MHTL Homes team for collaborative discussions and to provide an analytical and evaluative perspective regarding data. The Compliance Specialist is responsible for implementing the MHTL Homes established process and operation of the grievance resolution process and moderates the process through problem solving and making recommendations to improve response. Duties in this position include:

Complaint/Grievance Resolution:

• receive written or verbal client complaints assigned to them by the Supervisor or Facility Director and strictly adhering to established timelines will meet with the client and
  when appropriate their family and thoroughly investigate the concern when needed this may involve interviewing numerous people (e.g. staff other clients) to fully understand the concern and to formulate an appropriate response
• responsible for negotiating a complaint resolution that is satisfactory to the client but also something that can feasibly and legally be honored by the MHTL Homes based on the validity and scope of the request and the resources available to the MHTL Homes
• ensures that all steps of the assigned complaint or grievance process are accurately and completely documented and the established timeframes are maintained
• shared responsibility for this process to address the clients grievance as the Compliance Specialist
• addresses all referred grievances that are unresolved at the MHTL Homes; review all information gathered for the purpose of the grievance resolution process meet personally with the client within the timeframes and determine if relief can be granted. If the grievance is unresolved as determined by the client they will forward the grievance to the Supervisor or Facility Director to process at the next level

• Develop protocols for ongoing implementation and oversight of the MHTL Homes Critical Incident Reporting requirements
• collects reports data related to MHTL Homes incidents in order to improve client and staff safety data is reported to the MHTL Homes Data Analyst. In the beginning stages of any investigation of incidents determines which events constitute an occurrence that must be reported through the iNotify database to Executive Management of OCFMH MHTL Homes leadership including the MHTL Homes Supervisor Facility Director and Division Director. Investigates and conducts mini root cause analyses into the incidents to further determine which incidents rise to the level of reportability to the Behavioral Health Administration (BHA) per Behavioral Health Entity (BHE) rules and regulations
• provides input into decisions such as recommendations for process improvement measures and recommendations for follow up action plans with pertinent staff members
• Investigates and develops followup reports on any occurrence that meets the criteria which includes but is not limited to visual review of video footage performing interviews with staff and clients documenting interviews and reviewing documentation
• provides final reporting of the investigation outcome to the MHTL Homes leadership
• involved in Root Cause Analyses for critical incidents investigations when necessary
• required to complete emergency physical intervention/restraint training (CTI) and CPR
• collaborates with and advises MHTL Homes leadership with regards to the need to respond to and investigate serious allegations that may require immediate response of an appointing authority to determine and develop an appropriate action to keep clients safe at all times
• analyze and attempt to reconcile apparent discrepancies within information resources available to them. Such actions may include client transfer to another MHTL Home and when indicated corrective or disciplinary action for staff which can include recommendations to place a staff member on immediate authorized leave or permanent reassignment to another MHTL Home to assure client safety
• Formulates recommendations for change or improvement in operating procedures and processes
• responsible for establishing relationships with community agencies and developing comprehensive contacts to utilize for facilitation of referrals for discharge and transition planning purposes
• analyze patient needs and various office services and procedures to develop and implement protocols for the MHTL Homes regarding client placement processes
• participates in education and training remains current in multiple system agencies and community entry points updates internal protocols and processes and shares resources with MHTL Homes Team

• participates in review of the Electronic Records to ensure all necessary documentation per regulatory authority is present in the clients electronic record and complete. These audits mimic the survey methodology employed by BHA during onsite surveys and involve a detailed audit of the electronic records for each client at each MHTL
• assists in the preparation for all onsite survey activities which may also include meeting with surveyors and assisting them in the use of the electronic records for their auditing purposes
• assists with ongoing policy and procedure updates based on the results or outcomes of surveys

• Other duties as assigned

Minimum Qualifications:

Six (6) yearsof relevant experiencewith at least 1 year of experience in healthcare compliance and regulatory affairs within a mental health or healthcare environment

OR

A combination of related education in Health or human/ social services and experience in healthcare compliance and regulatory affairs within a mental health or healthcare environment
equal to six (6) years.

Conditions of employment:

• CBI name check and fingerprint check ICON Colorado court database Medicare fraud database Reference Checks Professional License verification (licensure requirements) Drug Screen PREA (Division of Youth Services) Trails check (direct contact with children) CAPS (direct contact with adults Mental Health Institutes Regional Centers Veterans Community Living Centers)
• Valid Colorado Drivers License
• May need to travel to other state locations transport patients to community appointments
• Travel This position may require travel to the various staterun MHTL Homes and to inperson meetings and/or team building activities.
• Former State employees who were disciplinarily terminated or resigned in lieu of termination must disclose the information on the application and provide an explanation why the prior termination or resignation should not disqualify the applicant from the current position. Absent extraordinary circumstances prior disciplinary termination or resignation in lieu of termination will disqualify the applicant from future State employment with CDHS

How to Apply

The Assessment Process

For additional recruiting questions please contact

If your goal is to build a career that makes a difference consider joining the dedicated people of theColorado Department of Human Services(CDHS). Our professionals strive to design and deliver high quality human and health services that improve the safety independence and wellbeing of the people of Colorado. In addition to a great location and rewarding and meaningful work we offer:

• Strong secure yet flexible retirement benefits including aPERA Defined Benefit Plan or PERA Defined Contribution Planplus 401(k) and 457 plans

• Medical and dental health plans

• Employer supplementedHealth Savings Account

• Paid life insurance

• Short and longterm disability coverage

• 11 paid holidays per year plus vacation and sick leave

• BenefitHubstate employee discount program

• Employee Wellness program

• Excellent worklife programs such as flexible schedules training and more

• Remote work arrangements for eligible positions

information go to Values:

We believe in a peoplefirst approach:To serve the people of Colorado we develop a culture and work environment that creates an energized inspired and healthy team capable of giving their best to Coloradans.

Balance creates quality of life:We want our team to be resilient through a supportive workplace that values flexibility health and wellness and employee engagement.

We hold ourselves accountable:We take responsibility through our actions programs and results for the state of health and human services in Colorado.

Transparency matters:We are open and honest with employees our partners the Coloradans we serve and the public.

We are ethical:We abide by what is best for those we serve by doing what is right not what is easy.

Collaboration helps us rise together:We work together with all partners employees and clients to achieve the best outcomes for Coloradans.

THE STATE OF COLORADO IS AN EQUAL OPPORTUNITY EMPLOYER