[Hiring] CMS Compliance Specialist @State of Florida

Role Description

The primary function of this position is ensuring APD residential (group home and assisted living facility) and non-residential (adult day training and prevocational) setting compliance with the Centers for Medicare & Medicaid Services (CMS) requirements, set forth in 42 CFR 441.301. The duties to be performed include:

• Conduct onsite monitoring through established survey protocols of APD residential and non-residential settings located within the region to determine compliance with 42 CFR 441.301(c)(4).
• Onsite monitoring includes conducting interviews of individuals served within residential settings and non-residential settings to verify person centered plans are in place that ensure rights, dignity, choice, and community integration.
• Conduct validation surveys of residential and non-residential settings every three years to ensure continued compliance with CMS requirements.
• Complete written survey reports summarizing findings related to the providers’ compliance with CMS requirements, including identification of deficiencies to be remediated.
• Coordinate with providers on completion of plans of remediation/correction and provide technical assistance for providers to come into compliance with CMS requirements.
• Conduct follow-up surveys to ensure providers complete their plans of remediation within established time frames.
• Participate in meetings to discuss concerns and provider actions that may be necessary, including terminations.
• Conduct heightened scrutiny reviews of settings that appear to meet the definition of presumptively institutional and report findings to the APD leadership team and participate, as necessary, in the review of public comments on settings identified as presumptively institutional, providing recommendations on identified issues as requested.
• Provide APD leadership team with status reports of completed assessments.
• Participate in all training and technical assistance conference calls.
• Perform other duties as assigned.

Qualifications

• Valid Driver’s License or other efficient means of transportation to travel for work purposes.
• Must be able to work evenings and weekends, as necessary, to ensure residential settings are assessed when individuals are home.
• Professional experience with monitoring or conducting quality assurance activities.

Requirements

• Knowledge of Microsoft applications (Excel, Word, Power Point, Share Point) and other required computer software applications.
• Ability to work under strict timelines.
• Effectively communicate orally and in writing.
• Establish, organize, and maintain files.
• Read and interpret applicable laws, rules, and regulations.
• Write evaluations and/or reports.
• Plan, organize, and coordinate work assignments.
• Establish and maintain effective working relationships with others.

Benefits

• State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options.
• Retirement plan options.
• For a more complete list of benefits, visit www.mybenefits.myflorida.com .