Case Manager and Certification Specialist (HSC 3) DOH8969
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Apply to Case Manager and Certification Specialist (HSC 3) DOH8969 at State of WashingtonJob details
- Location
- Tumwater, Washington
- Work type
- Hybrid
- Compensation
- $64,512 - $86,664/yr
- Clearance
- Other
- Posted
- 1 week ago
- Apply on
- governmentjobs.com
About this role
About the Department
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 [email protected] and reference DOH8969.
Technical Support: Reach out to NEOGOV directly at 1-855-524-5627 for technical support and login issues.
Other Qualifications
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.
Benefits
More than Just a Paycheck!
Employee benefits are not just about the kind of services you get, they are also about how much you may have to pay out of pocket. Washington State offers one of the most competitive benefits packages in the nation.
We understand that your life revolves around more than just your career. Like everyone, your first priority is ensuring that you and your family will maintain health and financial security. That's why choice is a key component of our benefits package. We have a selection of health and retirement plans, paid leave, staff training and other compensation benefits that you can mix and match to meet your current and future needs.
Read about our benefits:
The following information describes typical benefits available for full-time employees who are expected to work more than six months. Actual benefits may vary by appointment type or be prorated for other than full-time work (e.g. part-time); view the job posting for benefits details for job types other than full-time.
Note: If the position offers benefits which differ from the following, the job posting should include the specific benefits.
Insurance Benefits
Employees and their families are covered by medical (including vision), dental and basic life insurance. There are multiple medical plans with affordable monthly premiums that offer coverage throughout the state.
Staff are eligible to enroll each year in a medical flexible spending account which enables them to use tax-deferred dollars toward their health care expenses. Employees are also covered by basic life and long-term disability insurance, with the option to purchase additional coverage amounts.
To view premium rates, coverage choice in your area and how to enroll, please visit the Public Employees Benefits Board (PEBB) website. The Washington Wellness program from the Health Care Authority works with PEBB to support our workplace wellness programs.
Dependent care assistance allows the employee to save pre-tax dollars for a child or elder care expenses.
Other insurance coverage for auto, boat, home, and renter insurance is available through payroll deduction.
The Washington State Employee Assistance Program promotes the health and well-being of employees.
Retirement and Deferred Compensation
State Employees are members of the Washington Public Employees' Retirement System (PERS). New employees have the option of two employer contributed retirement programs. For additional information, check out the Department of Retirement Systems' web site.
Employees also have the ability to participate in the Deferred Compensation Program (DCP). This is a supplemental retirement savings program (similar to an IRA) that allows you control over the amount of pre-tax salary dollars you defer as well as the flexibility to choose between multiple investment options.
Social Security
All state employees are covered by the federal Social Security and Medicare systems. The state and the employee pay an equal amount into the system.
Public Service Loan Forgiveness
If you are employed by a government or not-for-profit organization, and meet the qualifying criteria, you may be eligible to receive student loan forgiveness under the Public Service Loan Forgiveness Program.
Holidays
Full-time and part-time employees are entitled to paid holidays and one paid personal holiday per calendar year.
Note: Employees who are members of certain Unions may be entitled to additional personal leave day(s), please refer to position specific Collective Bargaining Agreements for more information.
Full-time employees who work full monthly schedules qualify for holiday compensation if they are employed before the holiday and are in pay status for at least 80 nonovertime hours during the month of the holiday; or for the entire work shift preceding the holiday.
Part-time employees who are in pay status during the month of the holiday qualify for the holiday on a pro-rata basis. Compensation for holidays (including personal holiday) will be proportionate to the number of hours in pay status in the month to that required for full-time employment, excluding all holiday hours. Pay status includes hours worked and time on paid leave.
Sick Leave
Full-time employees earn eight hours of sick leave per month. Overtime eligible employees who are in pay status for less than 80 hours per month, earn a monthly proportionate to the number of hours in pay status, in the month to that required for full-time employment. Overtime exempt employees who are in pay status for less than 80 hours per month do not earn a monthly accrual of sick leave.
Sick leave accruals for part-time employees will be proportionate to the number of hours in pay status, in the month to that required for full-time employment. Pay status includes hours worked, time on paid leave and paid holiday.
Vacation (Annual Leave)
Full-time employees accrue vacation leave at the rates specified in WAC 357-31-165(1) or the applicable collective bargaining agreement (CBA). Full-time employees who are in pay status for less than 80 nonovertime hours in a month do not earn a monthly accrual of vacation leave.
Part-time employees accrue vacation leave hours in accordance with WAC 357-31-165(1) or the applicable collective bargaining agreement (CBA) on a pro rata basis. Vacation leave accrual will be proportionate to the number of hours in pay status, in the month to that required for full-time employment.
Pay status includes hours worked, time on paid leave and paid holiday.
As provided in WAC 357-58-175, an employer may authorize a lump-sum accrual of vacation leave or accelerate the vacation leave accrual rate to support the recruitment and/or retention of a candidate or employee for a Washington Management Service position. Vacation leave accrual rates may only be accelerated using the rates established WAC 357-31-165.
Note: Most agencies follow the civil service rules covering leave and holidays for exempt employees even though there is no requirement for them to do so. However, agencies are required to adhere to the applicable RCWs pertaining holidays and leave.
Military Leave
Washington State supports members of the armed forces with 21 days paid military leave per year.
Bereavement Leave
Most employees whose family member or household member dies, or for loss of pregnancy, are entitled to five (5) days of paid bereavement leave. In addition, the employer may approve other available leave types for the purpose of bereavement leave.
Additional Leave
Leave Sharing
Parental Leave
Family and Medical Leave Act (FMLA)
Leave Without Pay
Please visit the State HR Website for more detailed information regarding benefits.
Updated 01-07-2026
Supplemental Questions
- Yes
- No
- Yes
- No
- a. I do not have this experience.
- b. I have 6 months but less than 1 years of experience.
- c. I have 1 year but less than 2 years of experience.
- d. I have 2 years but less than 3 years of experience.
- e. I have 3 years but less than 4 years of experience.
- f. I have 4 years but less than 5 years of experience.
- g. I have 5 years but less than 6 years of experience.
- h. I have 6 years but less than 7 years of experience.
- i. I have 7 or more years of experience.
- a. An associate’s degree
- b. A bachelor’s degree or higher.
- c. Neither of the above.
- a. 4 or more years of professional management or consultative experience in a health profession, healthcare facility, health services program, or closely allied field.
- b. Experience working with and interpreting state laws or federal regulations related to licensed or certified healthcare facilities.
- c. 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.
- d. Experience using Word processing software, such as Microsoft Word to create, format, and edit documents for report writing and other internal and external correspondence.
- e. Bachelor’s degree or higher in public health, health care administration, public or business administration, or other related field.
- f. None of the above.
- Yes
Required Question
Agency Information
EmployerState of WashingtonAddress View Job Posting for Agency InformationView Job Posting for Location, Washington, 98504 Website http://www.careers.wa.gov