Accreditation, Regulatory, and Licensing Specialist IV, DHCS FSR Program (KFHP/H)

In addition to the responsibilities listed below, this role is also responsible for: performing the Department of Health Care Services (DHCS) Facility Site Reviews (FSR), Medical Record Reviews (MRR), and Physical Accessibility Review (PAR) surveys as assigned; ensuring all FSR surveys are conducted in accordance with DHCS Managed Care Quality and Monitoring Division requirements; reporting FSR findings to all relevant providers, departments, and managers; overseeing the submission of FSR/MRR/PARs to relevant leaders; issuing corrective action plans and ensuring corrective plans are closed in alignment with DHCS standards and timelines; and attending required FSR trainings to obtain and/or maintain Site Reviewer certification.

Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome. Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions. Serves as the subject matter expert for regulations within assigned departments by: maintaining awareness of current internal policies and external regulations, and legislation; providing consultation on the interpretation, interaction, and implementation of current policies, regulations, and legislation, with guidance from senior colleagues; attending committees and actively contributing consultative guidance on the enforcement of regulations and auditing processes; developing moderately complex content and delivering educational programs to align organizational policies and procedures with regulatory requirements; and identifying and escalating issues and seeking input from leadership to resolve. Conducts data management and reporting support by: entering practitioner/provider data into the appropriate database; and entering, analyzing, and independently drafting action plans/recommendations required data into appropriate databases and providing consultative expertise during implementation of action plans. Ensures licensing and accreditation by: independently reviewing requirements for new, existing, and expanding facilities/services to aid in achievement of compliance with state, federal, and accrediting standards; consulting with other departments to ensure certification for moderately complex cases; and independently conducting a nuanced gap analysis and mentoring others to identify services renewals and planning to ensure services are compliant. Conducts regulatory audits and surveys by: independently reporting moderately complex and keeping current on