The Enforcement Quality Assurance Case Specialist reports to the Policy, Rules and Training (PRT) Manager of the Health Care Quality Department within the Regulatory Services Division of HHSC. This position provides highly advanced (senior level) case consultative services, quality assurance review and technical assistance to inspectors and investigators of the Substance Use Disorder Compliance Unit (SUDCU), the Health Facility Compliance Unit (HFC), and may work with the Professional Licensing and Certification unit (PLCU). The position evaluates high profile and complex inspections and investigations, provides case related recommendations and is responsible for working directly with the Enforcement unit, the Legal Services Division (LSD), the SUDCU manager, HFC managers, PLCU managers, and applicable staff to develop consistency when conducting inspections and investigations referred to the Enforcement Review Committee (ERC). The position will review and approve all cases and is responsible for submitting cases and all related evidence for addition to the ERC docket. The position will attend case follow-up meetings between the Enforcement unit, LSD, SUDCU, HFC, and other relevant Health Care Quality units. The position will be responsible for working with the Enforcement unit and HCQ program areas to develop ERC case submission criteria and will present enforcement case expertise to the ERC, relevant rule workgroups, unit meetings, and other internal and external stakeholder meetings. This position may assist the PRT unit in developing enforcement training for HCQ program areas and will assist the PRT unit in identifying trends and patterns related to rule and statute interpretation. The position is responsible for identifying legislative and rule changes that may affect inspections and investigations for HFC, SUDCU, PLCU, and the Enforcement Unit and will ensure dissemination of information to relevant units.
Essential Job Functions:
EJF 1—Oversees and coordinates the collection, organization, analysis and preparation of ERC cases, and provides recommendations for all cases pending submission to the ERC. (40%)
EJF 2—Establishes and evaluates ERC submission criteria and ensures compliance with program policies and procedures, statutes and rules. (30%)
EJF 3—Presents case development expertise to relevant rule workgroups, unit meetings, and other internal and external stakeholder meetings. (20%)
EJF 4—Assists in the development of enforcement training for SUDCU and Enforcement staff and identifies trends and patterns related to rule and statute interpretation. (5%)
EJF 5—Identifies legislative and rule changes that may affect the ERC process, and ensures dissemination of information to the SUDCU and the Enforcement unit. (5%)
Knowledge Skills Abilities:
Knowledge and experience in inspections or investigations.
Knowledge of federal and state rules, laws, program and policies.
Knowledge of quality improvement processes.
Knowledge of evidence gathering and the principles of investigations.
Ability to collect, organize, analyze, and disseminate significant amounts of information.
Ability to work with others and provide feedback.
Ability to interpret data and identify patterns and trends.
Ability to report case findings in a comprehensive manner.
Ability to use critical thinking to identify problems, research alternatives, and recommend solutions.
Ability to use a personal computer and various software programs to include, Word, Excel, PowerPoint and Outlook.
Ability to communicate effectively through oral and written communication.
Ability to present to large groups.
Ability to establish, build and maintain working relationships with others.
Skill in providing guidance and recommendations to various levels of management.
Registration or Licensure Requirements:
Licensed Chemical Dependency Counselor and/or Council on Licensure, Enforcement and Regulation (CLEAR) certified, preferred but not required. National certification in related profession preferred.
Initial Selection Criteria:
Bachelor’s degree in Criminal Justice, Social Work, Public Health, or related health care field preferred; work related experience in inspections or investigations may substitute for education. Knowledge of state and federal laws, regulations, policies, and/or experience conducting inspections or investigations. Experience working with regulatory agencies preferred.
Valid Texas driver's license required.
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In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.