This is a full-time onsite position located at our DOH facility in Tumwater, WA, 5 days per week. Ad hoc remote/hybrid work options are available after training and probation period is completed, subject to supervisor approval. The Opportunity The Case Manager and Certification Specialist position (HSC 3) resides within the Office of Health Systems Oversight (OHSO), whose role is to support the department's mission to work with others to protect and improve the health of people in the state of Washington by contributing to safe care and providing oversight of state-licensed and federally certified clinical and behavioral health entities, and by ensuring they meet applicable standards. This Case Manager and Certification Specialist position is responsible for the implementation and administration of healthcare facility-specific laws, rules, policies, and procedures related to Medicare certification, coordination of initial and routine inspection/survey activities, complex state and federal complaint investigations, hearing and adjudicative processes, coordination of enforcement actions and orders including compliance activities. This position also provides technical assistance and consultation to healthcare facilities and programs that are seeking Medicare certification. This position promotes compliance with state and federal laws, regulations, and guidelines by conducting assessment and data surveillance activities and assuring accuracy and completeness of inspection and investigation documentation for assigned healthcare facilities and programs.

Key Responsibilities Include:

Oversee and direct the enforcement process of assigned healthcare facilities and programs. Coordinate cross-office activities related to the complaint response process and enforcement activities relating to violations of state and federal laws, rules, and regulations for healthcare facilities. Assess complaints in preparation for case management team (CMT) panels for the initial authorization decision. Conduct research into applicable state and federal laws, rules, and regulations. Contact the complainant when necessary to ask preliminary questions to aid in the assessment decision. Identify and convene an Expedited Case Management Team (ECMT) meeting to discuss complaints involving apparent imminent danger or other challenging cases that could result in an enforcement action. Present concise and accurate summaries of the information contained in the case file to include the results from all the above research and analysis. Coordinate, monitor, maintain, and update applicable state and federal databases. Provide technical assistance and consultation to internal and external database users to resolve technical problems. Process requests to create and close initial, routine, and re-visit inspections in the state and federal databases. Create inspection record in the federal database by determining regulation sets (WAC, RCW, or CFRs) for each request based on facility type, type of inspection, and the assigned surveyor. Create State Fire Marshal inspection record in the federal database for requested facilities with associated regulations. Provide consultation and technical assistance with the State Fire Marshal's office regarding applicable facility regulations. Provide expertise in the implementation of the Medicare certification process and systems. Research and gather documentation for Public Records Requests (PRR) or Freedom of Information Act (FOIA) requests. Provide support and customer service that may be sensitive in nature to office staff and the public. Why You'll Love This Role You will be part of a team with decision-making authority to authorize investigations in state-regulated facilities and make recommendations to the Centers for Medicare & Medicaid Services (CMS) regarding federal regulations. Serving as a point of contact for all facility complaint-related issues, this position assists with the training and orientation of new staff and others in the facility's certification and enforcement processes. Join us and contribute to this strong foundation of Washington's public health system! Required Qualifications There are multiple pathways to qualify for this position. You must meet one of the options provided and any additional criteria listed. Experience may have been gained through paid or unpaid activities. Please ensure any relevant experience defined below is outlined in your cover letter, resume, and/or applicant profile. Option 1: Six (6) or more years of professional management or consultative experience in a health profession, healthcare facility, health services program, or closely allied field including demonstrated experience interpreting and applying state and federal laws, rules, and regulations. Option 2: An associate's degree; AND four (4) years of professional management or consultative experience in a health profession, healthcare facility, health services program, or closely allied field including demonstrated experience interpreting and applying state and federal laws, rules, and regulations. Option 3: A bachelor's degree; AND two (2) years of professional management or consultative experience in a health profession, healthcare facility, health services program, or closely allied field including demonstrated experience interpreting and applying state and federal laws, rules, and regulations Additional Required Knowledge, Skills, Abilities, and Experience Cultural Humility

• Demonstrates the ability to take action to learn and grow, facilitating the development and integration of diverse perspectives, and honoring the different cultures represented in our agency. Equity and Inclusion
• Demonstrates the ability to take action to meet the needs of others, removing barriers to accessing shared resources, and promoting a culture of equity, social justice, and belonging. People Impact Orientation
• Demonstrates an ability to take action to adapt and adjust work and behaviors to increase positive impact on others.

Holds themselves accountable for having a positive impact on others to the greatest extent possible.

Analysis:

Uses data and information in a clear, rational, and thorough process to assess and understand issues, evaluate options, form accurate conclusions, and make decisions. Communicates Effectively

• Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences. Customer Focus
• Building strong customer relationships and delivering customer-centric solutions.

Workload Management:

Effectively organizes multiple assignments, sometimes of a complex nature or involving competing priorities, to produce work products that are accurate, thorough, and on time. The duties of this position may require the incumbent to complete an identity verification/validation process to gain authorized access to a Centers for Medicare & Medicaid Services system to perform the essential functions of the position. This verification/validation process may require the incumbent to provide government-issued identification, current photo/image, social security number, and credit report information. Preferred Qualifications While these aren't required, having them can help you stand out as a candidate. Four (4) or more years of professional management or consultative experience in a health profession, healthcare facility, health services program, or closely allied field to include: Experience working with and interpreting state laws or federal regulations related to licensed or certified healthcare facilities. Experience using complex healthcare-related databases, including inputting data, importing and exporting data, preparing standard reports, and interpreting electronic records in a variety of settings. Experience using Word processing software, such as Microsoft Word to create, format, and edit documents for report writing and other internal and external correspondence. Bachelor's degree or higher in public health, health care administration, public or business administration, or other related field. Employee Benefits We offer a solid benefits package that supports you and your family's health, financial security, and work-life balance. You'll have access to comprehensive medical, dental, and vision coverage, life and long-term disability insurance, flexible spending and health savings accounts, and retirement plans that help you plan for tomorrow while you're living today. Paid holidays, vacation and sick leave help you recharge, and additional programs like dependent care assistance and professional development opportunities add value beyond basic coverage. Join us and enjoy benefits designed to care for you as much as you care about public health. Learn more about DOH benefits and see how we support your life at work and beyond by visiting Work@Health . The Health System Quality Assurance division helps prevent injuries, develop health systems, and improve patient safety by working closely with communities and local health partners. Our over 500 employees regulate and support more than 463,000 health professionals in 85 health professions and 11,000 health groups and programs. Learn more about what we do . OHSO's vision is to be an effective partner in ensuring health and safe patient care in the community we oversee. We achieve this through timely, comprehensive, consistent, and fair reviews, inspections, and investigations; providing reports that identify areas of non-compliance with existing regulations and, when required, initiate enforcement action to protect the public. About the Washington State Department of Health We're nearly 2,700 professionals across Washington working together to protect and improve community health. Guided by our values of Equity, Innovation, and Engagement, we address health disparities, respond to emerging challenges, and strengthen systems that support resilience. At DOH, we help reduce barriers, collaborate with diverse communities, and champion equitable health outcomes. We're passionate people who are driven to make a difference in public health . Our work depends on people who take action to learn and grow and who take action to meet the needs of others every day, in service of a healthier Washington. Explore more about the Department of Health, our programs, and our impact by visiting our website .

Working Conditions:

The following describes the working conditions of this position, with or without reasonable accommodation.

Work Setting:

The position requires regular in-person attendance to perform duties on-site at the Tumwater, WA DOH Office. The position requires repetitive use of a computer, inputting data and navigating a database, creating and modifying electronic documents, and using email and the internet.

Schedule:

Standard DOH business hours are Monday to Friday 8:00 a.m. to 5:00 p.m.; however, an alternate or flexible work schedule may be considered at the employee's request, subject to supervisory approval. The position would not normally require working in excess of 40 hours per week, but if it became necessary for business needs, your supervisor would notify you in advance.

Travel Requirements:

Travel is not required to perform the duties of this position; however infrequent travel may be expected to attend meetings, trainings, or conferences.

Tools & Equipment:

This position uses standard office furniture and equipment, such as a desk, office chair, cell phone, computer, monitor(s), keyboard, and mouse; and when in the office, the position may also require the use of a printer, phone, fax machine, and/or copy machine.

Customer Interactions:

The position frequently requires engaging with facilities, patients, or complainantssome of whom may be angry, distraught, or frustrated. Requires professional interactions and communication with a wide range of professionals, and the public, including co-workers and other intra/inter-agency staff.

Other:

This position is covered by a bargaining unit for which the Washington Federation of State Employees (WFSE) is the exclusive representative. The DOH campus is a smoke-free, drug-free, alcohol-free, scent-neutral environment. This position may be required to conduct and/or participate in public health emergency preparedness and response activities.

APPLICATION DIRECTIONS

: We're committed to a fair and equitable hiring process. Only materials submitted through the official application will be considered. Emailed resumes or documents won't be accepted or shared with the hiring manager. Click "Apply" to complete your application. Attach your resume, cover letter, and DD-214 (if applicable). List at least three professional references, directly in your Applicant Profile or as a separate attachment, including a supervisor, a peer, and someone you've supervised or led (if applicable).

DO NOT INCLUDE

private details like your SSN or birth year, personal photos, transcripts, certifications, diplomas, projects, portfolios, or letters of recommendation.

Veterans Preference :

Applicants wishing to claim Veterans Preference must attach a copy of their DD-214 (Member 4 copy), NGB 22, or a signed verification of service letter from the United States Department of Veterans Affairs to their application. Please remove or cover any personally identifiable data such as social security numbers and birth year

Equity, Diversity, and Inclusion :

We regard diversity as the foundation of our strength, recognizing that differing insights and abilities enable us to reflect the unique needs of the communities we serve. DOH is an equal-opportunity employer. We prohibit discrimination based on race/ethnicity/color, creed, sex, pregnancy, age, religion, national origin, marital status, the presence or perception of a disability, veteran's status, military status, genetic information, sexual orientation, gender expression, or gender identity.

Questions and Accommodations:

If you have questions, need assistance with the application process, require an accommodation, or would like to request this posting in an alternative format, please contact Kristina Cox at employment@doh.wa.gov and reference DOH8969.

Technical Support :

Reach out to NEOGOV directly at 1-855-524-5627 for technical support and login issues.

SUBSCRIBE

to DOH Job Alerts This recruitment may be used to fill positions of the same job classification across the agency. Once all the position(s) from the recruitment are filled, the candidate pool may be used to fill additional open positions for the next sixty (60) days. Only applicants who follow the directions and complete the Application Process in full will have their responses reviewed for consideration. Experience and education selected, listed, or detailed in the Supplemental Questions must be verifiable on the submitted applicant profile.