Roles and Responsibilities

• Maintains and builds knowledge of the Federal, State and Program requirements related to Survey completion.
• Complete necessary pre-hire and ongoing training required, including mandatory online training required by the Centers for Medicare and Medicaid Services (CMS) and the Surveyor Minimum Qualifications Test (SMQT).
• Directly supervises, manages, and oversees Surveyors, including hiring, firing, and providing performance evaluations, salary recommendations, and individual development goals and objectives.
• Ensures functions of the department are in compliance with appropriate program requirements, CareStar policies and guidelines, and contract standards.
• Oversees the assignment and scheduling of Survey Teams and other Survey work to appropriate employees.
• Work as part of a team of surveyors, conducting onsite licensing inspections and investigating allegations regarding care, in Long-Term Care, Intermediate Care and ESRD Facilities. The Survey could be conducted Statewide requiring travel and overnight stays.
• Monitors and tracks survey completion status until final reports are submitted and approved.
• Responds to inquiries and provides supporting documentation regarding surveys, as necessary.
• Conduct Surveys as necessary, during the facility’s operating hours, which could include early morning, late evening and/or weekend availability.
• Interview complainants and witnesses to obtain information regarding allegations.
• Review, and complete as necessary, Survey Completion Reports, as well as Statements of Deficiency Reports indicating the results of completed surveys, including rules/regulations non-compliance and recommendations for understanding the regulations.
• Reviews, initiates and approves submitted data and documentation according to established CareStar and agency processes.
• Participates on agency committees and performs quality improvement activities as needed.
• Serves on work groups, community groups, committees, or other task forces and attends meetings as requested.
• Participates in sales presentations, RFPs, RFIs and other proposals.
• Performs other projects and duties as assigned.
• Adheres to the CareStar Rule in performance of responsibilities.
• Understands and complies with CareStar policies and procedures.
• Maintains confidentially as related to patient information. Any disclosures of confidential information made unlawfully outside the proper course of duty will be treated as a serious disciplinary offence.
• Follows the Acceptable Use Policy, while using any information systems owned or controlled by CareStar.

Qualifications and Education Requirements

• Associate’s Degree from an accredited College or University in Nursing or Bachelor’s Degree in Social Work.
• Possesses one of the following licensures: Nursing License, Licensed Social Worker, Registered/Licensed Dietician.
• Three (3) years’ experience working with the populations served by the applicable program.
• Effective oral and written communications skills with attention to detail in assessment and documentation; ability to prioritize multiple tasks; proficient computer skills with suite of Microsoft Office programs.
• Ability to work independently, as well as in a team environment, within CareStar and program guidelines.
• Demonstrate effective interpersonal skills in a diverse work environment,
• Strong problem-solving skills, effective organizational skills, and flexibility in relationship to position requirements.
• Available to meet the needs/requirements of employees, co-workers, and individuals during CareStar standard business hours.
• Reliable transportation and ability to travel, through air or ground including overnight stays, as necessary.
• Valid driver’s license and car insurance, as required by State law.