Performs advanced quality assessment and evaluation of services provided to residents of the Texas State Veterans Homes. Work involves participation in interpreting and monitoring the program operations, auditing and reviewing of systems/processes to ensure compliance with contractual agreement. Investigates procedures to minimize fraud exposure. Works under limited supervision with considerable latitude for the use of initiative and independent judgment.
Essential Job Elements:
Oversees the quality of care for the TSVH and reports concerns. Evaluates nursing services through the analysis of statistical and performance evaluation reports. Conducts inspections, surveys, and investigations of TSVH to determine compliance with state and federal laws, regulations, rules and contractual obligations; preparing reports of findings and recommendations. Conducts site visits to verify correction of previously cited regulatory violations. Plans, develops, implements, interprets, and monitors program operations, policies and procedures. Reviews medical records and resident assessments to determine compliance with policies and procedures, correctness of assessment, and quality of service. Assists in planning, developing, and coordinating nursing activities. Monitors in-service training and other educational programs of the TSVH. Provides consultation, training, and technical assistance to agency staff, medical community, and other organizations. Conducts field investigations, epidemiological studies, and special research projects.
Applicants must demonstrate on the application how the following qualifications are met. Graduation from an accredited college or university with an associates or higher degree in nursing. Five years experience as a nurse with at least two years of experience in the following: nursing work in a skilled long term care facility, long term acute care hospital, or hospice, or nursing work as a surveyor/monitor for a state nursing home regulatory agency. Current registered nurse (RN) with the State of Texas.
Medicare and Medicaid experience or long term care management experience.
Knowledge, Skills, Abilities:
Knowledge of the principles and practices of public administration and management; of VA, Medicare and Medicaid Insurance; of OSHA & Life Safety code regulations; of Medicare; Medicaid, Hospice, private pay, and VA billing; and of local, state, and federal laws and regulations relevant to the Texas Department of Aging and Disability Services and the USDVA programs. Skill in the use of a personal computer with proficiency in word processing, database, and spreadsheet software programs. Ability to manage and organize program activities and resolve conflict; to establish program goals and objectives that support the strategic plan; to identify problems, evaluate alternatives, and implement effective solutions; to develop and evaluate policies and procedures; to manage the development of policies and procedures; to prepare concise reports and correspondence; to manage multiple priorities; to research and analyze information; and to communicate effectively both orally and in writing and to plan, assign, and/or supervise the work of others.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. This position requires the employee to primarily perform sedentary office work; however, mobility (standing and walking) is routinely required to carry out some duties. This position requires extensive computer, telephone and client/customer contact and communication. It requires the ability to bend, stoop, kneel, and reach as needed for filing and similar routine office duties. The job also requires normal cognitive abilities requiring the ability to learn, recall, and apply certain practices and policies. It requires the stamina to maintain attention to detail despite interruptions. Ability to read printed materials and computer screens. The individual must be able to lift, pull, physically handle, and transport records, documents, boxes, and all related information and materials, weighing up to 20 pounds when required. The individual must be able to sit for long periods of time when commuting to and from assigned destination and when traveling on state business including fieldwork and training assignments.
Other (licenses, certifications, et cetera):
Valid Texas drivers license.
All applications for employment with the Texas General Land Office (GLO) must be submitted electronically by the job closing date through www.WorkInTexas.com. PAPER, FAX OR E-MAIL APPLICATIONS WILL NOT BE ACCEPTED. Please visit our website at www.glo.texas.gov for more information about applying for a GLO job posting. The Texas General Land Office/Veterans Land Board does not discriminate on the basis of race, color, national origin, sex, sexual orientation, religion, age, disability or genetic information in employment or the provision of services. A criminal conviction records check is required for applicants who are selected for a position. The State of Texas requires all males who are 18 through 25 and required to register with the Selective Service to present either proof of registration or exemption from registration upon hire. The U.S. Immigration Reform and Control Act of 1986 requires new employees to present proof of identity and eligibility to work in the United States. The Texas General Land Office is a non-smoking agency. Smoking is permitted only in designated areas. In compliance with the FLSA, the GLO compensates overtime work though time off in lieu of payment.