Clinical Health Facility Surveyor III

Refer to the date listed at the top of this posting, if available. Continuous if date is blank.

Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above.

This position is responsible for performing duties related to survey activities for Clinical Laboratory Improvement Amendment (CLIA) facilities in the State of Oklahoma to determine compliance to meet federal mandated workloads and statute.

• →Performs technical certification surveys, validation surveys, and complaint surveys for a variety of CLIA facilities for adherence to the requirements of the CLIA regulations.

• →Tracks and Schedules required surveys to ensure timely completion of survey activities

• →Reviews facility compliance history; conducts entrance interview with facility administrator or representative providing explanation for survey, and conducts exit interview to discuss problems and deficiencies; tours laboratories for required equipment, supplies, maintenance, water temperature; evaluates records to include policies and procedures, staffing logs, in-service programs, and medical records in order to ensure compliance with regulations.

• →Employs sampling methodology to select patients/clients for in-depth evaluation of the care and service needs of the patients/clients versus the care and services provided.

• →Interviews facility personnel and others to obtain and document information regarding patients/clients care and/or to respond to complaints.

• →Evaluates the administration of medical facilities to determine if policies and procedures comply with statutes and regulations.

• →Completes required forms and reports, which detail deficiencies noted during facility survey.

• →Investigates allegations.

• →Makes determinations of immediate jeopardy in which immediate corrective action is necessary because a facility practice has caused, or is likely to cause, serious injury, harm, impairment, or death to a patient/client.

• →Recommends action as to certification, termination/revocation.

• →Testifies to inspection findings at hearings or in court proceedings.

• →Provides technical assistance to facilities in areas of expertise.

• →Describes observed deficiencies to appropriate facility staff and provides consultation relative to improvements needed to comply with regulations.

• →Shows ability to address questions from the public by providing a correct response and including necessary personnel, if warranted, to include providing regulatory reference as indicated.

• →Being present in the office is an essential function of this job

• →Other duties as assigned

Other Duties

• →Demonstrates knowledge of and supports mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior.

• →Works effectively in team environment, and independently.

• →participates and assists their peers.

• →Completes annual training as required by CMS and/or OSDH.

• →Other duties as determined.

Applicants must be willing and able to perform all job-related travel normally associated with this position and possess a valid driver’s license.

• Requirements at this level consist of a bachelor’s degree in chemical, biological, clinical, or medical laboratory science, or medical technology; plus, four to six years of clinical laboratory experience.

Medical Facility Surveyors must successfully complete all required training to include OSDH required training and CMS training to include CLIA Basic Training, CLIA Orientation, Principles of Documentation (POD), and Basic Writing Skills for Survey Staff to be completed during initial training. Time to complete varies based on the individual’s comfort level.

Knowledge of the principles, practices, and ethics for the surveyor’s licensed or registered professional status; administrative and organizational principles and practices regarding health care facility operations; the principles of interviewing; word processing software applications and computer operations; federal and state laws, regulations, and policies regarding certification of health care facilities; what constitutes immediacy of threat to a client; the requirements for determining culpability of a facility.

Ability is required to read and understand statutory and regulatory language; to establish and maintain effective working relationships; to exercise good judgment in evaluating situations and choosing an appropriate course of action; to interpret and analyze survey findings against statutory and regulatory requirements; to make decisions; to organize and communicate findings, both orally and in writing, in a logical, clear, concise, and complete manner; to observe, document, analyze, and evaluate the provision of care against the applicable standards of practice, statue, and regulation; to employ the principles and methods of conducting interviews using memory retrieval methods; to interview patients/clients with diminished mental capacity, developmental disabilities, and/or acute and chronic medical conditions; to gather and present findings within a hostile facility environment while maintaining professional tone and demeanor; to analyze non-verbal and verbal communications to determine if an interview subject is omitting information or is being deceptive; employ techniques for identifying omissions and deception in written statement; to distinguish between the potential for harm and the potential for serious harm; to independently perform facility investigations; to provide individual instruction, encouragement, and guidance to surveyors while functioning as a preceptor to surveyors in training; and to lead a team of surveyors in the conduct of a facility survey.

This position is set in an office environment and in laboratories located in health facilities. While performing the duties of the job, employees are required to stand, walk, lift, and reach; drive an automobile. This position requires long periods of sitting and daily use of computers and phone. Working hours may vary to include off- hour, weekend, evening, and extended hours surveys. Weeks with holidays will require the surveyor to work a standard 8-5 schedule for that week. Applicants must be willing to perform all job-related travel associated with this position.

The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability.

Current active State of Oklahoma employees must apply for open positions internally through the Workday Jobs Hub.

If you are needing any extra assistance or have any questions relating to a job you have applied for, please click the link below and find the agency for which you applied for additional information:

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