· Personnel Home · MQ’s · Specs Index · Examination Code: R ·
Nature of Work
Under general supervision, performs advanced level
professional work conducting complex regulatory compliance
determinations for Medicare/Medicaid certification and State
licensure during inspections and complaint investigations of
health care facilities, including, but not limited to:
hospitals, long term care facilities, home health agencies,
hospices, residential board and care homes, personal care homes,
ambulatory surgery centers, end stage renal dialysis units, rural
health clinics, intermediate care facilities for the mentally
retarded, behavioral health group homes, birthing centers,
unlicensed and illegal health care operators and schools.
Functioning as a registered professional nurse, evaluates the
provision of nursing care based on training and experience as a
nurse and clinical knowledge of accepted standards of nursing
practice; performs advanced assessments of individuals served by
these health facilities for appropriateness of nursing and other
health services. Conducts facility surveys through observation
and evaluation of the provision of patient care and other
services, interviews, record review including, but not limited
to: personnel files, patient medical records, facility policy
and procedures, patient care protocols, administrative records
and committee minutes. Work involves frequent travel. There is
considerable dependence on professional judgment in the
performance of a survey. Other responsibilities include the
provision of technical assistance to health care providers,
planning and presenting provider training, regulatory
development, participation in various state committees, and acts
as a resource to other health facility surveyors and non-nurse
program managers regarding nursing and other health related
issues. Performs related work as required.
Distinguishing Characteristics
This is the entry level in the series. This level does not
have responsibility as a team leader or lead worker on a regular,
recurring basis.
Examples of Work
Conducts on-site surveys and complaint/abuse investigations in
the above referenced health care facilities; discusses
survey procedures and practices with administrators,
department directors and facility staff.
Assesses and evaluates patients/residents for the accuracy of
the facility staff assessments and the appropriateness and
efficacy of nursing and related health care provided, i.e.
physical occupational, speech and respiratory therapies,
etc.
Evaluates the provision of nursing services based on accepted
standards of practice and facility policy and procedure for
nursing techniques including but not limited to: emergency
care, intravenous therapy, enteral therapy, injections,
tracheostomy care, suctioning, infection control procedures
including sterile technique and body substance isolation
precautions, assessment and special skin care, range of
motion, positioning, use of assistive devices and
prostheses.
Makes determinations that poor patient/resident outcomes are
based on facilities' failure to assess or provide for a
medical/nursing need.
Cites statements of deficient practice for identified non
compliance relative to nursing and related health care and
defends these deficiencies in administrative official
hearings.
Knowledge, Skills and Abilities
Knowledge of technical health and safety related fields
including special education, behavioral health and
laboratory services.
Knowledge of medical and behavioral terminology, health care
organizations, professional credentials and practice
standards and treatment modalities as they relate to
medical, nursing, laboratory medicine or science, behavioral
health, pharmaceutical, and documentation principles related
to each.
Knowledge of practices and procedures in medical care
administration and health services provision.
Ability to comprehend, interpret and apply complex information
and program material.
Ability to work well with a variety of people.
Ability to communicate well, both orally and in writing.
Ability to exercise good judgment in evaluating situations.
Ability to manage time effectively.
Ability to lead co-workers.
Minimum Qualifications
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TRAINING and EXPERIENCE:
Baccalaureate degree in nursing from an accredited four-year
college or university and three years of full-time or
equivalent part-time paid experience as a registered
professional nurse.
Successful completion of an associate degree from an
accredited college or university or a diploma nursing
program and four years of full-time or equivalent part-time
paid experience as a registered professional nurse.
OR
Professional certification from a recognized national nursing
certifying organization as a nurse or nurse practitioner in
the area of assignment and three years of full-time or
equivalent part-time experience as a registered professional
nurse.
OR
Successful completion of an associate degree in nursing from
an accredited college or university or a diploma nursing
program; plus baccalaureate degree in the health sciences or
behavioral sciences and three years of full-time or
equivalent part-time paid experience in nursing.
OR
Master's degree in nursing from an accredited four-year
college or university and two years of full-time or
equivalent part-time paid experience in nursing.
Special Requirement:
Current West Virginia licensure or temporary permit to
practice as a registered professional nurse.
Established: 11/18/99
Effective:
01/01/00