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This position supports the California Department of Public Health’s (CDPH) mission and strategic plan by overseeing the review, evaluation, inspection, and certification of health facilities and agencies as to their compliance with State and Federal laws, regulations, and investigations of complaints. Carries out program activities in a specific region of the state for those facilities and agencies under the jurisdiction of the Center. The Nurse Surveyor Supervisor II (NSS II) ensures that all Department and Program mandates, policies and procedures are carried out in an appropriate and consistent manner. Up to 10% travel may be required.

The incumbent works under the general direction of the Nurse Surveyor Manager (NSM).

 

Key Responsibilities

Applies clinical knowledge of current nursing practices and standards of clinical care to direct, oversee, and review the work products, submissions, and decisions of subordinate Nurse Surveyor Supervisor Is and Nurse Surveyors in order to determine the appropriateness of patient care in response to surveyor reports and findings. Analyzes survey data and recommends approval or disapproval of initial licensure, initial certification and recertification of health care facilities and other providers in accordance with Federal and State laws and regulations. Issues citations subject to civil penalties in accordance with appropriate statutory and regulatory provisions.

Reviews each supervisor’s workload and performance to assure that required Center activities are performed in accordance with mandated policies and procedures in a timely and professional manner. Makes workload adjustments as necessary to accomplish the required tasks. Provides direct oversight and/or training to Nurse Surveyor Supervisor Is and Nurse Surveyors in survey protocols and policy development related to the safe delivery of patient care services. Recruits, interviews, and hires staff; determines training needs of new and existing staff. Identifies and promotes continuing staff development and specialized training through coaching and mentoring. Evaluates staff performance using the Individual Development Plan assessment tool. Reviews and approves timesheets and absence requests; and completes documentation related to attendance, preventative, corrective, or adverse action, when appropriate.

Acts as a spokesperson regarding the region’s licensing and certification policies and issues. Meets and confers with representatives from federal, state, and local agencies, advocacy and/or consumer groups, and providers regarding specific complaints, problems, or adverse actions against health facilities within the region, including license revocations, Medi-Cal/Medicare decertifications, issuance of citations, and general provider and consumer health facility issues and concerns.

Conducts informal dispute resolutions and holds informal conferences for complainant appeals. Reviews, approves, and renders decisions including adverse actions taken against healthcare facilities that violate laws and rules related to acceptable patient care standards and scope of practice for a variety of healthcare professionals. Coordinates and communicates with field office supervisors in the investigations of health care facilities based upon complaints or on suspected violations of public health laws. Reviews and coordinates approvals/disapprovals of Class A and AA citations and program flexibility requests (alternate methods of meeting the intent of the regulation). Evaluates and determines the appropriateness of the delivery of health care and services of complex clinical procedures, treatments, diagnostics, and interventions in healthcare facilities and provider entities.

Serves as an expert witness in all State, Federal, or local criminal or civil actions against health care facilities and testifies as to the adequacy of services available to patients. Gathers evidence against violators, reviews and prepares reports for testifying in court, at hearings, and other legal proceedings. Reviews the completeness and appropriateness of the medical records, and surveys documentation in preparing for hearings, and other legal proceedings.

Attends statewide Regional Manager/Administrator meetings when scheduled by the Field Operations C.E.As. Provides agenda items for meetings and makes presentations as necessary. Prepares and conducts staff meetings for regional office staff.

 

Qualifications

Conflict of Interest (COI)

Background Check and/or Fingerprinting Clearance

Medical Clearance

Travel: 10% may be required

Bilingual: Pass a State written and/or verbal proficiency exam in

License/Certification: RN License