HEALTH FACILITIES EVALUATOR, NURSING

Full Job Description

Position Information:
Surveys, investigates and inspects hospitals, skilled nursing facilities, and related health care facilities to enforce Federal, State and local licensing and certification requirements relating to medical care.

Program Information:
Positions allocable to this class receive administrative and technical supervision from a higher level nurse evaluator. The positions are responsible for the survey, investigation, inspection and evaluation of hospitals, skilled nursing facilities and other health facilities, clinics and individual providers for conformity with and enforcement of Federal and State licensing and certification requirements relating to the quality of medical care. Health Facilities Evaluators generally are assigned to a geographic area with approximately equal numbers of facilities to be surveyed regularly. Incumbents make detailed evaluation of patient care and other aspects of the facility being surveyed including physician, nursing, dietary, pharmaceutical, medical records documentation, social services, administrative management, ethical practices, and infection control. Evaluators call on consultant staff which may be assigned to the Division or available in the County, State or Federal system for expert evaluation and counsel in specialty and/or problem areas. This class is distinguished from the Health Facilities Evaluator class in that the primary focus and responsibility is on enforcement of State and Federal laws, rules, and regulations pertaining to areas affecting total patient care such as nursing, physician, restorative, pharmacy, social, dental and related services.

Requirements

Conducts surveys of hospitals, skilled nursing facilities, clinics, and other providers in accordance with State, Federal and local laws, regulations and departmental guidelines relating to patient care, physician, nursing, diagnostic and treatment services, dietary, pharmaceutical, medical records, social services, administrative management, and ethical practices such as handling patients' personal funds.Conducts surveys by visiting the facility, interviewing patients, evaluating the adequacy of patient care through direct observation, inspecting the physical premises, reviewing patient and staff personnel records, and requesting and evaluating reports prepared by request to consultants available at the County or State level where an in-depth analysis by expert is necessary.Makes detailed inspections and evaluations in each patient care area such as evaluating the nursing service as to the identification of each person's care needs based on initial written and continuing assessment by all health care professionals involved in the patient's care and treatment.Reviews the administration of treatments and medications by all health care professionals.Reviews the adequacy and training of nursing personnel and other ancillary health care staff.Evaluates the adequacy of all patient care services provided to patients.Reviews the organization of health care facilities to determine whether the structure of the organization allows for proper deployment of staff to handle all routine and emergency needs.Reviews adequacy of diet administration.Evaluates the adequacy and scope of rehabilitative nursing services.Reviews and evaluates the scope of psycho-social services provided to patients.Reviews the completeness and appropriateness of medical record documentation.Evaluates the ability of the administrator to handle the accountability and responsibility of running a health care facility.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.Analyzes survey data and recommends approval or disapproval of license and certification of health care facilities and other providers in accordance with Federal, State and local laws and regulations.Provides advice to facility administrators regarding deficiencies and recommends needed improvements in facility practices to ensure conformity with governmental regulations.Makes investigations of health care facilities based upon complaints or on suspected violations of public health laws, and initiates action to secure compliance by gathering evidence against violators, preparing reports and testifying in court, at hearings, and other legal proceedings.Issues citations subject to civil penalties in accordance with appropriate statutory and regulatory provisions.Makes investigations at other than normal business hours, by adjusting working hours, and is on call for emergencies.Coordinates personnel when conducting team surveys or during facility evaluations for the purpose of achieving correction of major deficiencies, decertification actions or revocation of health facility license.Participates in in-service training programs related to various aspects of health facilities and patient care evaluation.Participates in the training of Health Facilities Evaluator Trainees.

Qualifications Meet the following experience and license requirements at the time of filing in order to move forward in the exam process.Two years of full time* work experience as a Registered Nurse, one year of which experience must have been working in a hospital**.

License(s) and Certificate(s) Required:A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.

Applicants must ensure the License and Certification Section of the application is completed.

Provide the title(s) of your required license(s), the number(s), date(s) of issue, date(s) of expiration and the name(s) of the issuing agency for the required license as specified in the Selection Requirements.Applicants claiming experience in a state other than California must provide their Registered Nurse License Number from that state on the application at the time of filing.

Out-of-State experience provided on the application without the required license number will not be considered.

Out-of-Country experience will not be considered to meet the requirements.The required license and certification MUST be current/active and unrestricted; a conditional, provisional, probationary or restricted license or certification will NOT be accepted.A current certification issued by the American Heart Association's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program.

Applicants MUST attach a legible photocopy of the required BLS certification to their application at the time of filing or within 15 calendar days of filing your application online sent to HRExams@ph.lacounty.gov.

Applications submitted without the required evidence of BLS certification will be rejected.A valid California Class C Driver's License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions.Physical Class:2 - Light: Light physical effort which may include occasional light lifting to a 10 pound limit, and some bending, stooping or squatting.

Considerable walking may be involved.Special Requirement Information:*Full-time experience is defined as a minimum of 36 hours worked per week and must be post-license only.**A hospital is defined as a place for receiving medical or surgical care, usually as an inpatient (resident), by an organized medical staff which also provides the following basic services: 24 hour emergency room care, nursing, anesthesia, laboratory, radiology, pharmacy, and dietary services.

Desirable Qualification: Credit will be given to applicants who possess the following desirable qualifications:Additional experience beyond the requirements as a Registered Nurse providing professional nursing care and services to patients in a variety of settings.

Additional Information Our Assessment Process:Once we have determined that you meet our experience and license requirements listed above, our assessment process will consist of an evaluation of experience based on application information and desirable qualification at the time of filing weighted 100%.Applicants must meet the experience and license requirements listed above and achieve a passing score of 70% or higher on the examination (assessment process) in order to be added to the hiring list (Eligible Register) for consideration of employment.Passing this examination and being added to the Eligible Register does not guarantee an offer of employment.NO PERSON MAY COMPETE IN THIS EXAMINATION MORE THAN ONCE EVERY TWELVE (12) MONTHS.Notifications and final results for this examination will be sent electronically to the e-mail address provided on the application and to your account inbox at My Career Page Website.

It is important that candidates provide a valid e-mail address.

Test scores cannot be given over the phone.Please add HRExams@ph.lacounty.gov and info@governmentjobs.com to your e-mail address book and list of approved senders to prevent e-mail notifications from being filtered as spam/junk mail.

Vacancy Information:The eligible register resulting from this examination will be used to fill vacancies in the Department of Public Health as they occur.What to expect next:We ask that you submit an application through the "Apply" link at the top of the opportunity posting using your own user ID and password (using a family member or friend's user ID may erase a candidate's original application record).

Applications must be filed online only. You can also track the status of your application using this website.

Applications will be processed on an "as-received" basis and those receiving a passing score the assessment will be promulgated to the eligible register accordingly.

The names of candidates receiving a passing score in the examination will be placed on the eligible register in the order of their score group for a period of twelve (12) months from the date of promulgation.

Fair Chance Employer: The County of Los Angeles is a Fair Chance employer.

Except for a very limited number of positions, you will not be asked to provide information about a conviction history unless you receive a contingent offer of employment.

The County will make an individual assessment of whether your conviction history has a direct or adverse relationship with the specific duties of the job, and consider potential mitigating factors, including, but not limited to, evidence and extent of rehabilitation, recency of offense(s), and age at the time of the offense(s).

If asked to provide information about a conviction history, any convictions or court records which are exempted by a valid court order do not have to be disclosed.Have any questions about anything?

Please contact us using the following information:Available Shift: AnyCalifornia Relay Services Phone: (800) 735-2922

ADA Coordinator Phone: (844) 914-1006
Teletype Phone: (800) 899-4099
Alternate Teletype Phone: (800) 897-0077
Exam Number: PH5707D
Department Contact Name: Exam Analyst
Department Contact Phone: (213) 684-8726
Department Contact Email: HRExams@ph.lacounty.gov